Suprapterional keyhole approach for anteromedial skull base lesions: How I do it.
Anterior cranial fossa
Endoscope
Exoscope
Olfactory groove
Planum sphenoidale
Suprapterional keyhole
Journal
Acta neurochirurgica
ISSN: 0942-0940
Titre abrégé: Acta Neurochir (Wien)
Pays: Austria
ID NLM: 0151000
Informations de publication
Date de publication:
31 Jul 2024
31 Jul 2024
Historique:
received:
05
05
2024
accepted:
15
07
2024
medline:
1
8
2024
pubmed:
1
8
2024
entrez:
31
7
2024
Statut:
epublish
Résumé
For a minimally invasive treatment approach to the anteromedial part of the anterior cranial fossa (ACF), a small incision and craniotomy of the posterolateral part of the ACF are preferable. We described the concept and technique of suprapterional keyhole approach (SPKA), which uses an exoscope and endoscope to treat ACF lesions. The SPKA enables ACF observation from the lateral direction; the endoscope's extended viewing angles enable the observation of the anteromedial part of the ACF, including the bilateral olfactory groove. Facial skin and large scalp incisions are avoided, making this approach efficient for ACF lesions.
Sections du résumé
BACKGROUND
BACKGROUND
For a minimally invasive treatment approach to the anteromedial part of the anterior cranial fossa (ACF), a small incision and craniotomy of the posterolateral part of the ACF are preferable.
METHOD
METHODS
We described the concept and technique of suprapterional keyhole approach (SPKA), which uses an exoscope and endoscope to treat ACF lesions.
CONCLUSION
CONCLUSIONS
The SPKA enables ACF observation from the lateral direction; the endoscope's extended viewing angles enable the observation of the anteromedial part of the ACF, including the bilateral olfactory groove. Facial skin and large scalp incisions are avoided, making this approach efficient for ACF lesions.
Identifiants
pubmed: 39085521
doi: 10.1007/s00701-024-06202-y
pii: 10.1007/s00701-024-06202-y
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
311Subventions
Organisme : Japan Society for the Promotion of Science
ID : JP23K08510
Informations de copyright
© 2024. The Author(s).
Références
Dziedzic TA, Bala A, Balasa A, Olejnik A, Marchel A (2022) Cortical and white matter anatomy relevant for the lateral and superior approaches to resect intraaxial lesions within the frontal lobe. Sci Rep 12:21402. https://doi.org/10.1038/s41598-022-25375-z
doi: 10.1038/s41598-022-25375-z
pubmed: 36496517
pmcid: 9741612
Gusmào S, Silveira RL, Arantes A (2003) Pontos referenciais nos acessos cranianos. Arq Neuropsiquiatr 61:305–308. https://doi.org/10.1590/s0004-282x2003000200030
doi: 10.1590/s0004-282x2003000200030
pubmed: 12806519
Iwami K, Watanabe T, Osuka K, Ogawa T, Miyachi S, Fujimoto Y (2021) Combined exoscopic and endoscopic technique for craniofacial resection. Curr Oncol 28:3945–3958. https://doi.org/10.3390/curroncol28050336
doi: 10.3390/curroncol28050336
pubmed: 34677254
pmcid: 8535086
Schupper AJ, Hrabarchuk EI, McCarthy L, Hadjipanayis CG (2023) Improving surgeon well-being: ergonomics in neurosurgery. World Neurosurg 175:e1220–e1225. https://doi.org/10.1016/j.wneu.2023.04.102
doi: 10.1016/j.wneu.2023.04.102
pubmed: 37427701
Tokimura H, Hirabaru M, Miyajima S, Tajitsu K, Yamahata H, Sugata S, Arita K (2014) Electrophysiological mapping of the temporal branch of the facial nerve. J Neurol Surg A Cent Eur Neurosurg 75:116–119. https://doi.org/10.1055/s-0033-1343981
doi: 10.1055/s-0033-1343981
pubmed: 23939680
Vigo V, Cornejo K, Nunez L, Abla A, Rodriguez Rubio R (2020) Immersive surgical anatomy of the craniometric points. Cureus 12:e8643. https://doi.org/10.7759/cureus.8643
doi: 10.7759/cureus.8643
pubmed: 32685312
pmcid: 7366040