2016
DOI: 10.17116/neiro201680578-84
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Supraorbital keyhole craniotomy in surgery of anterior circle of willis aneurysms

Abstract: The progress in surgical treatment of intracranial aneurysms is based on the introduction of modern minimally invasive techniques. Among the variety of keyhole approaches, supraorbital craniotomy is most often used in surgical treatment of anterior circle of willis aneurysms. The authors present the preliminary results of application of supraorbital keyhole craniotomy for anterior circle of willis aneurysms in 27 patients. Most of the patients had unruptured aneurysms (18 patients). Nine patients had SAH, and … Show more

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Cited by 9 publications
(3 citation statements)
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References 21 publications
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“…Our results confirmed that the operative time was shorter and the intraoperative blood loss was less in the supraorbital group, which is likely due to the smaller craniotomy and the faster removal of the smaller supraorbital bone flap 15 . Above all, selective cerebral puncture and drainage to a certain extent can avoid the occurrence and development of hydrocephalus and cerebral vasospasm.…”
Section: Discussionsupporting
confidence: 82%
“…Our results confirmed that the operative time was shorter and the intraoperative blood loss was less in the supraorbital group, which is likely due to the smaller craniotomy and the faster removal of the smaller supraorbital bone flap 15 . Above all, selective cerebral puncture and drainage to a certain extent can avoid the occurrence and development of hydrocephalus and cerebral vasospasm.…”
Section: Discussionsupporting
confidence: 82%
“…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%
“…Once intradural, the primary variation described is the use of an endoscope. The supraorbital eyebrow approach can be performed as a purely endoscopic 13,32 or endoscopicassisted 24,29,42 operation, and some authors report improved visualization which is particularly advantageous for deepseated lesions. 133 During closure and repair, a dural substitute may or may not be used in addition to primary dural closure.…”
Section: Technique Variationsmentioning
confidence: 99%