2018
DOI: 10.1097/scs.0000000000004182 View full text |Buy / Rent full text
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Abstract: The location of burr holes in posterolateral cranial base approaches should be appropriate to provide an adequate operative field, and surgical freedom is crucial for bone window opening. The aim of this study was to search for more convenient and easily detectable landmarks in comparison with current landmarks in posterolateral cranial base surgery. Twenty 3-dimensional reconstructed head and neck computed tomography angiography images (group 1) and 20 cadaver heads (group 2) were evaluated. An imaginary line… Show more

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“…In order to perform an effective craniotomy, neurosurgeons should create an appropriately-sized cranial opening while avoiding injury of the adjacent major venous sinuses. [1][2][3][4][5][6][7][8][9][10] Since the posterior boundary of temporal craniotomy is determined using the position of TSSJ, precise identification of this major venous structure, especially the anterosuperior margin of the venous junction, is crucial. Moreover, despite technological advancements in the neuronavigation system, which helps facilitate safer and faster surgery 2 , it is not usually available in a resource-limited public hospital or emergency situation.…”
Section: Discussionmentioning
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“…In order to perform an effective craniotomy, neurosurgeons should create an appropriately-sized cranial opening while avoiding injury of the adjacent major venous sinuses. [1][2][3][4][5][6][7][8][9][10] Since the posterior boundary of temporal craniotomy is determined using the position of TSSJ, precise identification of this major venous structure, especially the anterosuperior margin of the venous junction, is crucial. Moreover, despite technological advancements in the neuronavigation system, which helps facilitate safer and faster surgery 2 , it is not usually available in a resource-limited public hospital or emergency situation.…”
Section: Discussionmentioning
“…[18][19] However, the prevalence of type I asterion was round 10-20% and generally not mentioned in anatomical studies for surgical purposes. [1][2][3][4][5][6][7][9][10][15][16] Since the aim of our study was practical usage, we used only conspicuous suture lines. The prevalence of this bone is highest in the lambdoid suture followed by posteriorly located sutures such as parieto-mastoid suture.…”
Section: Discussionmentioning
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