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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.
A craniotomy is a type of brain surgery where a surgeon removes part of your skull to access your brain. During the same surgery, your surgeon will replace the removed part of your skull before closing the incision site.
16 sty 2024 · The pterional or frontosphenotemporal craniotomy has stood the test of time and continues to be a commonly used method of managing a variety of neurosurgical pathology. Already described in the beginning of the twentieth century and perfected by Yasargil in the 1970s, it has seen many modifications. These modifications have been a normal ...
Pterional craniotomy. A surgeon removes part of the skull on the side of the head in front of and above the ear. Another name for this type of surgery is frontotemporal craniotomy. Pterional craniotomy can be done to treat brain aneurysms, brain tumors, blood clots, epilepsy and arteriovenous malformations.
Pterional craniotomy is the workhorse approach among cranial operative corridors. It is a highly flexible skull base approach that affords excellent exposure of the anterior cranial fossa, the circle of Willis, and the interpeduncular region.
Craniotomy, or a surgical opening into the skull, has been observed as early as Paleolithic and Neolithic periods. Early craniotomies carried great morbidity and mortality and standardized during the 20 th century, improving surgical outcomes.
