PMC4093743_01
(a) Computed tomography (CT) scan showing the presence of a subgaleal hematoma in the frontal region upon admission. (b) The subgaleal hematoma gradually enlarged in the posterior direction and the patient's symptoms worsened in tandem
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F1
However, the subgaleal hematoma gradually grew to surround the anterior part of the cranial vault in spite of compression with bandage to the head [Figure 1].
(a) Preoperative photograph of the skin incision for the removal of the subgaleal hematoma, located just behind the hairline. (b) Intraoperative photograph showing the endoscopic view of the hematoma removal. (c) After removal of the hematoma, the galea was exposed above the periosteum
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F2
A skin incision approximately 2 cm long was made along the hairline and used to introduce the endoscope and the surgical instruments [Figure 2a]. Storz, Germany) in the working space left by hematoma removal [Figure 2b]. Several sites of bleeding in the subgaleal space could be found and coagulated during the procedure, and the oozing from the surrounding subcutaneous tissue was controlled without difficulty to allow the almost complete removal of the hematoma [Figure 3].
Postoperative CT scan revealing the complete absence of the subgaleal hematoma
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F3
Storz, Germany) in the working space left by hematoma removal [Figure 2b]. Several sites of bleeding in the subgaleal space could be found and coagulated during the procedure, and the oozing from the surrounding subcutaneous tissue was controlled without difficulty to allow the almost complete removal of the hematoma [Figure 3].