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The operative technique of encephalo-myo-synangiosis(EMS)wasimproved in three aspects:implantation of a branch of middle meningeal arteryonto the ischemic cortex or artery;removal of the thickened arachnoid locally asmuch as possible;titanium plate cranioplasty instead of replacement with boneflap.Post operative clinical results were good,arteriographies demonstrated anabundant collateral circulation between external and internal carotid arteries,andthe implanted middle meningeal artery participated in the circulation.
The operative technique of encephalo-myo-synangiosis (EMS) wasimproved in three aspects: implantation of a branch of middle meningeal arteryonto the ischemic cortex or artery; removal of the thickened arachnoid locally asmuch as possible; titanium plate cranioplasty instead of replacement with boneflap. Post operative clinical results were good, arteriographies demonstrated anabundant collateral circulation between external and internal carotid arteries, and the implanted middle meningeal artery participated in the circulation.