2012
DOI: 10.1590/s0004-282x2012000900015
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Abstract: The frontotemporosphenoidal craniotomy, usually denominated pterional craniotomy, was first described by Yasargil in 1975 and is one of the earliest landmarks of the advents of microneurosurgery [1][2][3] . This approach enables, specifically, the exposure of the entire frontoparietal operculum 4,5 , the opening of the entire sylvian fissure 6,7 and all anterior cisterns of the encephalon base 2,5 , which makes both the pterional craniotomy and the transylvian approach the widest used techniques in today's neu… Show more

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Cited by 38 publications
(31 citation statements)
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References 12 publications
(31 reference statements)
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“…The placement of wet gauze and later traction of the scalp flap can spare the use of haemostatic clips and specific staples for this purpose 8,16,17,18 .…”
Section: Description Of Orbitozygomatic Craniotomymentioning
confidence: 99%
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“…The placement of wet gauze and later traction of the scalp flap can spare the use of haemostatic clips and specific staples for this purpose 8,16,17,18 .…”
Section: Description Of Orbitozygomatic Craniotomymentioning
confidence: 99%
“…The interfacial dissection of the temporalis muscle, as originally described by Yasargil, is specifically intended to preserve the front temporal branch of the facial nerve and reduce postoperative cosmetic changes resulting from the surgical wound 8,16 . We had four patients (8,1%) who evolved with temporary (about two months) frontal branch facial nerve palsy.…”
Section: Interfacial Dissection Zygomatic Osteotomy Section and Dismentioning
confidence: 99%
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“…After the positioning and trichotomy, the marking of the skin incision is done, so that its two endings form an imaginary straight line that adequately simulate the separation of the skin flap and the consequent bone exposure 4,5,6 . Initially, inion, asterion, C2 spinous process and mastoid apex should be marked.…”
Section: Marking Antisepsis and Scalp Incisionmentioning
confidence: 99%
“…The dural incision should be initiated using a scalpel blade #11, and continued with Metzenbaum scissors 4,5,6 . With these opening procedures, the dural flap can be reflected medially.…”
Section: Opening Of the Dura Mater And Brain Exposurementioning
confidence: 99%