Dura fenestration is non-inferior and with lower complication incidence compared to augmented duraplasty in decompressive craniectomy.

Decompressive craniectomy is a procedure for managing elevated intracranial pressure (ICP). However, it carries a high morbidity and mortality toll. While there is relative consensus regarding the bony part of the decompression, the role of dura opening and the optimal technique to perform it are under debate.