How I do it - The "drum skin" duraplasty technique after foramen magnum decompression for Chiari malformations

BackgroundChiari malformations are a spectrum of posterior cranial fossa anomalies characterized by herniation of the cerebellar tonsils through the foramen magnum. Surgery is the treatment of choice for selected patients with good postoperative outcomes.MethodsWe describe foramen magnum decompression (FMD) with dural opening and a "drum skin" duraplasty technique.ConclusionsIn our experience, FMD with "drum skin" duraplasty is a safe and effective procedure, reducing the risk of CSF leakage and arachnoidal adhesions and yielding better long-term clinical and radiological outcomes than other traditional techniques.