Interfascial approach for pterional craniotomy: technique and adjustments to prevent cosmetic complications.
Cosmetic complications
Facial nerve
Interfascial dissection
Pterional approach
Temporal muscle dissection
Journal
Acta neurochirurgica
ISSN: 0942-0940
Titre abrégé: Acta Neurochir (Wien)
Pays: Austria
ID NLM: 0151000
Informations de publication
Date de publication:
11 2019
11 2019
Historique:
received:
22
05
2019
accepted:
29
08
2019
pubmed:
8
9
2019
medline:
19
5
2020
entrez:
8
9
2019
Statut:
ppublish
Résumé
Interfascial dissection for pterional craniotomy is one of the main techniques to expose the pterional region. A step-by-step optimized method of interfascial dissection to avoid three main esthetic complications of the pterional approach-upper facial nerve palsy, temporal muscle atrophy, and retro-orbital depression. A video of the interfascial dissection and three artistic drawings are provided in support of this technique. A safe method of interfascial dissection, respecting anatomy, and avoiding cosmetic complications has been proposed.
Sections du résumé
BACKGROUND
Interfascial dissection for pterional craniotomy is one of the main techniques to expose the pterional region.
METHOD
A step-by-step optimized method of interfascial dissection to avoid three main esthetic complications of the pterional approach-upper facial nerve palsy, temporal muscle atrophy, and retro-orbital depression. A video of the interfascial dissection and three artistic drawings are provided in support of this technique.
CONCLUSION
A safe method of interfascial dissection, respecting anatomy, and avoiding cosmetic complications has been proposed.
Identifiants
pubmed: 31493045
doi: 10.1007/s00701-019-04058-1
pii: 10.1007/s00701-019-04058-1
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM