PTERIONAL CRANIOTOMY STEP BY STEP
DOI:
https://doi.org/10.52428/20756208.v10i24.548Keywords:
Craniotomy, Sylviana fissure, Cranial SurgeryAbstract
The craniotomy fronto-temporo-sphenoidal, which is called the pterional; allows exposure of fronto-temporo-parietal operculum and Sylviana fissure, which is the approach most commonly used in todayl s neurosurgery. lt is one of the initial frames advent of microneurosurgery.
Over the last decades the pterional craniotomy was modified by several authors, and also led to broader craniotomy, among which include the supra-orbital craniotomy and orbital-zygomatic craniotomy.
This article provides a detailed description of the technique that is currently used to achieve them, with their own modifications made by our surgical team.
Downloads
References
YASARGIL MG, FOX JL, RAY MW. The operative approach to aneurysms of the anterior communicating artery. In Krayenbuh H (Ed). Advances and technical standards in neurosurgery. Wien: Springer-Verlag, 1975; 114-170, v.2.
YASARGIL MG: Microneurosurgery: Vol I Microsurgical anatomy of the basal cisterns and vessels of the brain, diagnostic studies, general operative techniques and pathological considerations of the intracranial aneurysms. Stuttgart: Georg Thieme; 1984.
CHADDAD-NETO F, CAMPOS FILHO JM, DORIA NETTO HL, FARIA MH, RIBAS GC, DE OLIVEIRA E. The pterional craniotomy: tips and tricks. Arq Neuropsiquiatr 2012; 70: 727-732.
YASARGIL MG, KASDAGLIS K, JAIN WEBER H-P. Anatomical observations of the subarachnoid cisterns of the brain during surgery. J Neurosurg 1976; 44: 298-302.
YASARGIL MG. Legacy of Microneurosurgery: memoirs, lessons, and axioms. Neurosurgery 1999; 45:1025-1091.
RIBAS GC, RIBAS EC, RODRIGUES CJ. The anterior Sylvian point and the suprasylvian operculum. Neurosurg Focus 2005;
YASARGIL MG, KRISHT AF, TURE U, AL-MEFTY O, YASARGIL DCH. Microsurgery of insular gliomas: Part l. Surgical anatomy of the Sylvian cistern. Contemporary Neurosurgery 2002; 24: 1-8.
YASARGIL MG, KRISHT AF, TURE U, AL-MEFTY O, YASARGIL DCH. Microsurgery of insular gliomas: Part ll. Opening of the sylvian fissure. Contemporary Neurosurgery 2002; 24:1-5.
JANE JA, PARK TS, POBERESKIN LH, WINN HR, BUTLER AB. The supraorbital approach: technical note. Neurosurgery 1967;26: 159-162.
FUJITSU K, KIWABARA T. Zygomatic approach for lesions in the interpenducular cistern. J Neurosurg 1985; 62•.340-343.
PITELLI SD, ALMEIDA GGM, NAKAGAWA EJ, MARCHESE AJT, CABRAL ND. Basilar aneurysm surgery: the subtemporal approach with section of the zygomatic arch. Neurosurgery 1986; 18: 125128.
SEKHAR LN, RASO JL. Orbitozygomatic approach. In: Sekhar LN, Oliveira E. Cranial microsurgery: approaches and techniques. New York: Thieme, 1999:130-133.
DE OLIVEIRA E, SIQUEIRA M, TEDESCHI H, PEACE DA. Techinical aspects of the front-temporo-sphenoidal approach craniotomy. In Matsushima T (Ed). Surgical anatomy for microneurosurgery VI: cerebral aneurysm and skull base lesions. Fukuoka City: Sci Med Publications, 1993:3-8.
DE OLIVEIRA E, TEDESCHI H. Pterional and preternporal approaches. In Sekhar LN, De Oliveira E (Eds). Cranial microsurgery approaches and techiniques. New York: Thieme, 1999:124-129.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2015 Richard Gonzalo Párraga , Lolita Vargas Gutiérrez y Emily Lozada Lamas
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License 4.0 that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.