Contralateral Approach Based on a Preoperative 3-Dimensional Virtual Osteotomy Technique for Anterior Circulation Aneurysms

He, Haiyong; Chen, Chuan; Li, Wensheng; Luo, Lun; Ling, Cong; Wang, Hui; Chen, Zhuopeng; Guo, Ying

doi:10.1016/j.jstrokecerebrovasdis.2018.12.040

Cited by 10 publications

(5 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Preoperative planning includes creating a precise threedimensional (3D) concept of the surgical target area and the trajectory leading to it. This is achieved by the acquisition and study of detailed multimodality imaging series, including CT, MRI, f-MRI, diffusion tensor imaging-tractography, and detailed arterial and venous vascular imaging [2,18,21,22,48,63,69]. According to preoperative imaging, the direction of aneurysm and the compensation of collateral circulation are closely related to the choice of surgical approach.…”

Section: Preoperative Imaging For Keyhole Surgerymentioning

confidence: 99%

International expert consensus statement about methods and indications for keyhole microneurosurgery from International Society on Minimally Invasive Neurosurgery

Lan

Sughrue

Hopf³

et al. 2019

Neurosurg Rev

View full text Add to dashboard Cite

Meeting of experts and drafting the statement Members of the expert panel met in Suzhou, China, November 5, 2018, as a subcommittee meeting at the 2018 Education Course of the ISMIN. The meeting utilized the outlines created from the literature review as a draft for structuring the discussion. Opinions of the experts were transcribed and discussed in detail to ensure that the statement best reflects the experts' view. Findings of the committee based on literature and expert opinions Commonly applied keyhole microsurgery approaches Supraorbital keyhole approach Indication (Table 1

show abstract

Section: Preoperative Imaging For Keyhole Surgerymentioning

confidence: 99%

International expert consensus statement about methods and indications for keyhole microneurosurgery from International Society on Minimally Invasive Neurosurgery

Lan

Sughrue

Hopf³

et al. 2019

Neurosurg Rev

View full text Add to dashboard Cite

show abstract

“…This review yielded 124 studies that were eligible, all of which were included in the qualitative and quantitative synthesis as well as risk of bias appraisal. 3 4 7 8 9 10 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83…”

Section: Resultsmentioning

confidence: 99%

Cosmetic Outcomes of Supraorbital Keyhole Craniotomy Via Eyebrow Incision: A Systematic Review and Meta-Analysis

Robinow

Peterson

Riestenberg

et al. 2022

J Neurol Surg B Skull Base

View full text Add to dashboard Cite

Background Supraorbital eyebrow craniotomy is a minimally invasive alternative to a frontotemporal craniotomy and is often used for tumor and vascular pathologies. The purpose of this study was to investigate how patient cosmetic outcomes are affected by technique variations of this approach. Methods PubMed, Embase, and Scopus databases were systematically searched, and results were reported according to PRISMA guidelines. For the meta-analysis portion, the DerSimonian–Laird random effects model was used, and the primary end points were patient satisfaction and percentage of permanent cosmetic complications. Results A total of 2,629 manuscripts were identified. Of those, 124 studies (8,241 surgical cases) met the inclusion criteria. Overall, 93.04 ± 11.93% of patients reported favorable cosmetic outcome following supraorbital craniotomy, and mean number of cases with permanent cosmetic complications was 6.62 ± 12.53%. We found that vascular cases are associated with more favorable cosmetic outcomes than tumor cases ( p = 0.0001). Addition of orbital osteotomy or use of a drain is associated with adverse cosmetic outcomes ( p = 0.001 and p = 0.0001, respectively). The location of incision, size of craniotomy, utilization of an endoscope, method of cranial reconstruction, skin closure, use of antibiotics, and addition of pressure dressing did not significantly impact cosmetic outcomes ( p > 0.05 for all). Conclusions Supraorbital craniotomy is a minimally invasive technique associated with generally high favorable cosmetic outcomes. While certain techniques used in supraorbital keyhole approach do not pose significant cosmetic risks, utilization of an orbital osteotomy and the addition of a drain correlate with unfavorable cosmetic outcomes.

show abstract

“…Those studies have demonstrated that 3D-MFI neurosurgical simulations are a valuable educational tool. Thanks to open-source 3D medical software availability: such as 3DSlicer and Mimics, neurosurgeons trained in the operation of the software can construct models and fuse multimodal images on their own, as illustrated by the many published papers [5,9,25].…”

Section: Discussionmentioning

confidence: 99%

3D color multimodality fusion imaging as an augmented reality educational and surgical planning tool for extracerebral tumors

Hou,

Xu,

Chen

et al. 2023

Neurosurg Rev

View full text Add to dashboard Cite

BACKGROUNDExtracerebral tumors often occur on the surface of the brain or at the skull base. It is important to identify the peritumoral sulci, gyri, and nerve bers. Preoperative visualization of three-dimensional (3D) multimodal fusion imaging (MFI) is crucial for surgery. However, the traditional 3D-MFI brain models are homochromatic and do not allow easy identi cation of anatomical functional areas. METHODSIn this study, 33 patients with extracerebral tumors without peritumoral edema were retrospectively recruited. They underwent 3D T1-weighted MRI, Diffusion tensor imaging (DTI), and CT angiography (CTA) sequence scans. 3DSlicer, Freesurfer, and BrainSuite were used to explore 3Dcolor-MFI and preoperative planning. To determine the effectiveness of 3D-color-MFI as an augmented reality (AR) teaching tool for neurosurgeons and as a patient education and communication tool, questionnaires were administered to 15 neurosurgery residents and all patients, respectively. RESULTSFor neurosurgical residents, 3D-color-MFI provided a better understanding of surgical anatomy and more e cient techniques for removing extracerebral tumors than traditional 3D-MFI (P < 0.001). For patients, the use of 3D-color MFI can signi cantly improve their understanding of the surgical approach and risks (P < 0.005). CONCLUSIONS3D-color-MFI is a promising AR tool for extracerebral tumors and is more useful for learning surgical anatomy, developing surgical strategies, and improving communication with patients.

show abstract

Contralateral Approach Based on a Preoperative 3-Dimensional Virtual Osteotomy Technique for Anterior Circulation Aneurysms

Cited by 10 publications

References 16 publications

International expert consensus statement about methods and indications for keyhole microneurosurgery from International Society on Minimally Invasive Neurosurgery

International expert consensus statement about methods and indications for keyhole microneurosurgery from International Society on Minimally Invasive Neurosurgery

Cosmetic Outcomes of Supraorbital Keyhole Craniotomy Via Eyebrow Incision: A Systematic Review and Meta-Analysis

3D color multimodality fusion imaging as an augmented reality educational and surgical planning tool for extracerebral tumors

Contact Info

Product

Resources

About