Hydrogen Peroxide Head Preparation: Enabling Cuttings and Anatomic Studies of Skull Base Dura Mater and Arachnoid Without Use of Drilling.

作者: Florian Bernard , Louis-Marie Terrier , Sophie Michalak , Stéphane Velut

DOI: 10.1016/J.WNEU.2018.08.041

关键词: AnatomyMedicineSkullHydrogen peroxideCadaverCuretteCranial nervesBone decalcificationDura materCalcium concentration

摘要: Introduction Anatomic pieces that are preserved using formaldehyde allow us to undertake high-quality skull base studies. However, extensive drilling is often necessary, which can lead damages the dura mater and thus arachnoid. Formaldehyde hydrogen peroxide soften bone, which, in turn, be easily cut with a scalpel or removed curette. After having discovered this technique by chance, our aim was establish study protocol of without use drill. Methods Ten heads were set 10% formalin solution then injected colored latex. Five subsequently bleached 20% (HPS). The following studied weekly: 1) macroscopic modification mater, arachnoid brain; 2) histology; 3) computed tomography scans; 4) calcium concentration screenings weekly. Results several weeks (mean 6.1, range 5–8 weeks), all HPS specimens flexible, similar rubber consistence. Geometrical bone cuts could made while preserving surrounding anatomic structure (cranial nerves, vascular elements). Histologically, dural preserved. cadavers appear radiologically demineralized. We note significant augmentation after 1 month, 6 weeks, 2 months compared day 0. Conclusions softening probably caused decalcification from corrosive chemicals present solution, ease cutting geometrically, useful for workshop

参考文章(23)
Ian G McFarlane, Geigy Scientific Tables: 8th edn. Journal of the Royal Society of Medicine. ,vol. 79, pp. 497- 497 ,(1986)
Kaili Lin, Chengtie Wu, Jiang Chang, Advances in synthesis of calcium phosphate crystals with controlled size and shape. Acta Biomaterialia. ,vol. 10, pp. 4071- 4102 ,(2014) , 10.1016/J.ACTBIO.2014.06.017
Albert L. Rhoton, The Foramen Magnum Neurosurgery. ,vol. 47, pp. S29- S68 ,(2000) , 10.1097/00006123-200009001-00017
Janet Charman, Lynne Reid, The effect of decalcifying fluids on the staining of epithelial mucins by Alcian blue. Biotechnic & Histochemistry. ,vol. 47, pp. 173- 178 ,(1972) , 10.3109/10520297209116480
William P Inskeep, Jeffrey C Silvertooth, Kinetics of hydroxyapatite precipitation at pH 7.4 to 8.4 Geochimica et Cosmochimica Acta. ,vol. 52, pp. 1883- 1893 ,(1988) , 10.1016/0016-7037(88)90012-9
Toshio Matsushima, Yoshihiro Natori, Toshiro Katsuta, Kiyonobu Ikezaki, Masashi Fukui, Albert L. Rhoton, Microsurgical Anatomy for Lateral Approaches to the Foramen Magnum with Special Reference to Transcondylar Fossa (Supracondylar Transjugular Tubercle) Approach Skull Base Surgery. ,vol. 8, pp. 119- 125 ,(1998) , 10.1055/S-2008-1058570
S. Adetokunboh Ayeni, Kenji Ohata, Kiyoaki Tanaka, Akira Hakuba, The microsurgical anatomy of the jugular foramen Journal of Neurosurgery. ,vol. 83, pp. 903- 909 ,(1995) , 10.3171/JNS.1995.83.5.0903
I. Kiviranta, M. Tammi, R. Lappalainen, T. Kuusela, H. J. Helminen, The Rate of Calcium Extraction During EDTA Decalcification from Thin Bone Slices as Assessed with Atomic Absorption Spectrophotometry Histochemistry and Cell Biology. ,vol. 68, pp. 119- 127 ,(1980) , 10.1007/BF00489507
D H BERGEL, Geigy Scientific Tables Cardiovascular Research. ,vol. 25, pp. 704- 704 ,(1991) , 10.1093/CVR/25.8.704
D. Alves Cardoso, J. A. Jansen, S. C. G. Leeuwenburgh, Synthesis and application of nanostructured calcium phosphate ceramics for bone regeneration Journal of Biomedical Materials Research Part B. ,vol. 100, pp. 2316- 2326 ,(2012) , 10.1002/JBM.B.32794