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13 maj 2024 · The pterional or fronto-temporo-sphenoidal approach is one of the most frequently performed neurocranial craniotomy/craniectomy approaches and allows access to numerous important supratentorial anatomical substrates of vascular and neoplastic pathology.
The pterional or frontotemporal craniotomy is the workhorse of the supratentorial approaches. Because of its simplicity, flexibility, efficiency, and familiarity to neurosurgeons, this corridor is the most commonly used surgical route to lesions along the anterior and middle skull base.
1 cze 2001 · The key steps of the pterional approach are positioning, skin incision, interfascial dissection, craniotomy, drilling of the sphenoid wing, and the dural opening. After the bone removal, the pterional approach proceeds with the opening of the sylvian fissure and the basal cisterns.
Fronto-temporo-sphenoidal craniotomy, best known as the pterional approach (PA), is one of the most widely used approaches in cranial surgery. This is because, through the sylvian fi ssure (SF), it allows access to the subarachnoid cis-terns, the insula, and the mesial temporal lobe.
21 mar 2022 · We herein overview the core technique and variations of the pterional approach aimed at broadening surgical freedom and decreasing the risk of approach-related complications.
16 sty 2024 · Al-Mefty described the supraorbital-pterional approach to manage large central skull base lesions, including giant basilar aneurysms. The approach involves a bicoronal incision with a single piece craniotomy involving fronto-spheno-zygomatico-temporal bone, including the orbital rim.
1 mar 1998 · The pterional craniotomy is one of the most versatile approaches in neurosurgery. It is suited not only for vascular pathology arising from the circle of Willis but also for lesions located in or around the cavernous sinus, the sella, and the parasellar and subfrontal regions.
