Supraorbital eyebrow minicraniotomy for anterior circulation aneurysms

Mitchell, Patrick; Vindlacheruvu, Raghu; Mahmood, Khalid; Ashpole, Richard; Grivas, Athanasios; Mendelow, AD

doi:10.1016/j.surneu.2004.02.030

Cited by 85 publications

(52 citation statements)

References 13 publications

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“…Обнажение коры на интраду-ральном этапе, более значительное по площади, мо-жет сопровождаться ее повреждениями на фоне воз-действия нефизиологичной среды, ретракторной травмы и др. [21][22][23][24][25].…”

Section: результаты и обсуждениеunclassified

“…С мо-мента ее внедрения A. Perneczky и соавт. [10,11,[21][22][23][24][25] накоплен значительный опыт в хирургии аневризм и внутричерепных опухолей. Keyhole-хирургия или хирургия через «замочную скважину» -современная концепция, позволяющая значи-тельно снизить травматичность оперативного вме-шательства.…”

Section: результаты и обсуждениеunclassified

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Minipterional craniotomy in surgery for anterior circle of Willis aneurysms

et al. 2016

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Миниптериональная краниотомия в хирургии аневризм переднего отдела виллизиева круга К.м.н. Р.с. джинджиХАдзе, д.м.н., проф. О.н. дРеВАль, д.м.н., проф. В.А. лАзАРеВ, Р.л. КАмбиеВ ГбОу дПО «Российская медицинская академия последипломного образования» минздрава России, москва, Россия; Гбуз «Городская клиническая больница им. Ф.и. иноземцева» департамента здравоохранения москвы, москва, Россия Одним из значимых событий в хирургии аневризм в свое время стала популяризация микронейрохирургической техники G. yasargil. несмотря на свою универсальность, птериональная краниотомия сопровождается достаточно широкой остео-томией, значительным разрезом кожи и височной мышцы, что может приводить к негативным косметическим эффектам, риску дисфункции височно-нижнечелюстного сустава, повреждению лобной ветви лицевого нерва, онемению кожи лица и головы. нами представлен опыт выполнения миниптериональной краниотомии в хирургии аневризм переднего отдела виллизиева круга у 40 больных. серьезных осложнений или летальных случаев не было. интраоперационных разрывов аневризм также не отмечено. у всех больных наблюдалась ожидаемая транзиторная гипестезия в височной области, что не расценивалось как осложнение, при этом она была значительно меньше, чем при классической птериональной кранио-томии. Послеоперационный косметический результат оценивался пациентами как отличный. One of the significant events in aneurysm surgery was promotion of a microneurosurgical technique by G. yasargil. despite its versatility, pterional craniotomy is associated with extensive osteotomy and a significant incision of the skin and temporal muscle, which may lead to the adverse cosmetic effects, risk of temporomandibular joint dysfunction, injury to the frontal branch of the facial nerve, and facial and scalp numbness. We present our experience with minipterional craniotomy in surgery for anterior circle of Willis aneurysms in 40 patients. there were no serious complications or deaths. Also, there were no intraoperative aneurysm ruptures. All patients had expected transient hypesthesia in the temporal region, which was not considered as a complication. this region was significantly smaller compared to that in classical pterional craniotomy. Patients assessed the postoperative cosmetic outcome as excellent. Ключевые слова: миниптериональная краниотомия, keyhole, минимально инвазивная хирургия, аневризмы. Minipterional craniotomy in surgery for anterior circle of Willis aneurysms

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Section: результаты и обсуждениеunclassified

Minipterional craniotomy in surgery for anterior circle of Willis aneurysms

et al. 2016

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“…It is a subfrontal approach to the anterior skull base giving access to both supratentorial and basilar aneurysms. [13][14][15] It is performed either through an incision behind the hairline superficial to the temporalis fascia or an eyebrow…”

Section: Supraorbital Craniotomymentioning

confidence: 99%

“…Aneurysms were located primarily in the MCA (29.2%-36.43%), AComA (23.0%-46.6%), and ICA and PComA (13.4%-27.7%). 8,13,15,24,25 Early series focused on the feasibility of accessing a given aneurysm location through this approach, [12][13][14] whereas subsequent reports compared clinical outcomes of patients with ruptured and unruptured aneurysms treated using the SOC as compared with PTC. 8,11,15,[24][25][26][27] Functional outcomes were consistently comparable between SOC and PTC.…”

Section: Clinical Outcomes Of Mini-craniotomy Surgeriesmentioning

confidence: 99%

Minimally Invasive Microsurgery for Cerebral Aneurysms

Wong

Tymianski

Radovanović

et al. 2015

Stroke

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“…One of these approaches, the supra-orbital "eyebrow" keyhole craniotomy requires little brain retraction and affords satisfactory surgical exposure to the frontal fossa and parasellar area as recently demonstrated by anatomic and clinical studies [1][2][3] . The minimal scalp and muscle dissection required promote a rapid and less painful recovery compared to standard craniotomies 2,[4][5][6][7][8] . The major drawback of the supra-orbital approach is the potential for limited maneuverability given the small bony opening which typically measures 15-20 mm by 25-30 mm [1][2][3][4] .…”

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confidence: 99%

Supra-orbital keyhole removal of anterior fossa and parasellar meningiomas

Paiva-Neto

Tella

2010

Arq. Neuro-Psiquiatr.

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The improvement of surgical techniques as well as the introduction of new surgical instruments promoted the use of keyhole craniotomies in neurosurgery. We evaluated the technical aspects of the supra-orbital keyhole approach considering the indications, limitations, and complications of this approach to treat anterior cranial fossa and parasellar meningiomas. Twenty-four patients (21 females; mean age, 53±8.6 years) operated on between 2002 and 2006 through a supra-orbital eyebrow approach were studied. Maximal tumor diameter ranged from 1.6 to 6 cm. Gross total resection was done in 20 (83.3%). All tumors were histologically benign. Two patients (8%) experienced CSF rinorhea and another two patients suffered transitory diabetes insipidus (8%). One patient experienced transitory hemiparesis. There was one case of meningitis and one mortality. Follow-up ranged between 6 to 66 months (mean 31.5±20.1 months), with no recurrence. The supra-orbital keyhole craniotomy is a useful minimally invasive approach to treat selected anterior fossa and parasellar meningiomas.

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Supraorbital eyebrow minicraniotomy for anterior circulation aneurysms

Cited by 85 publications

References 13 publications

Minipterional craniotomy in surgery for anterior circle of Willis aneurysms

Minipterional craniotomy in surgery for anterior circle of Willis aneurysms

Minimally Invasive Microsurgery for Cerebral Aneurysms

Supra-orbital keyhole removal of anterior fossa and parasellar meningiomas

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