A publication co-authored by Halifax Health neurosurgeon Rohit K. Khanna, M.D. was the featured cover story in the September 2016 issue of the Journal of Neurosurgery, a monthly peer-reviewed medical journal covering all aspects of neurosurgery. Published by the American Association of Neurological Surgeons, the prestigious medical journal was established in 1944.
The paper, “Dynamic Telescopic Craniotomy: A Cadaveric Study of a Novel Device and Technique,” was written by Dr. Khanna and Lisa Ferrara, Ph.D.
In the paper, the authors assessed the feasibility of the dynamic decompressive craniotomy technique using a novel cranial fixation plate with a telescopic component. The authors compared the extent of postcraniotomy intracranial pressure (ICP) control after an abrupt increase in intracranial volume using the dynamic craniotomy technique versus the standard craniotomy or hinge craniotomy techniques.
A craniotomy, a surgical operation to access the brain, is an often critical procedure performed on patients who are suffering from brain lesions or traumatic brain injury.
Decompressive craniectomy is also performed in some patients who develop severe brain swelling from brain injury, strokes or tumors not responsive to medical treatment. Craniectomy involves removal of the skull bone flap and replacement several weeks later once the brain swelling subsides. The paper describes a new technique to manage patients with severe brain swelling without the need for bone flap removal and completely avoid another surgery to replace it. The paper concludes that the dynamic telescopic craniotomy technique with the novel cranial fixation plate provides superior control of ICP after an abrupt increase in intracranial volume as compared with the standard craniotomy and hinge craniotomy techniques.
A graduate of The Ohio State University College of Medicine, Dr. Khanna completed his medical residency at the Henry Ford Hospital in Detroit. In practice for more than 20 years, he is a member of the Halifax Health neurosurgery team and serves as clerkship faculty for Florida State University College of Medicine’s Daytona Beach campus.
Dr. Khanna’s office is located on the campus of Halifax Health Medical Center of Daytona Beach at 311 North Clyde Morris Blvd., Suite 580. For more information call 386.425.5055.
Halifax Health
Recognized by The Joint Commission as a Top Performer on Key Quality Measures, Halifax Health serves Volusia and Flagler counties, providing a continuum of healthcare services through a network of organizations including a tertiary hospital, community hospital, psychiatric services, a cancer treatment center with four outreach locations, the area’s largest hospice, a center for inpatient rehabilitation, primary care walk-in clinics, a walk-in clinic specializing in women’s health, two community clinics, three children’s medical practices, a home healthcare agency, and an exclusive provider organization. Halifax Health offers the area’s only Level II Trauma Center, Comprehensive Stroke Center, Pediatric Intensive Care Unit, Pediatric Emergency Department, Child and Adolescent Behavioral Services, complete Neurosurgical Services, OB Emergency Department and Level II Neonatal Intensive Care Unit that cares for babies born as early as 28 weeks. For more information, visit halifaxhealth.org.
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