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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.
16 sty 2024 · Kang et al. described a pterional craniotomy with keyhole for treatment of supratentorial aneurysms. This variant involved a single burrhole in the posterior temporal fossa. Reisch et al. describe the supraorbital keyhole craniotomy (Table 3).
1 wrz 2012 · This review intended to describe in a didactic and practical manner the frontotemporosphenoidal craniotomy, which is usually known as pterional craniotomy and constitute the cranial...
30 gru 2020 · The greatest advantage of the pterional craniotomy consists in its versatility and familiarity of all neurosurgeons with this approach. Also known as fronto-temporal craniotomy, it allows access to most vascular lesions and tumours located in close proximity to the sylvian fissure and circle of Willis.
Sagittal oblique illustration (b) and three-dimensional volume rendering (c) demonstrate pterional (frontotemporal) craniotomy, the preferred approach for Circle of Willis aneurysms or cavernous sinus lesions.
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.
The extended pterional approach is defined as a standard pterional craniotomy supplemented and expanded by osteotomy along the lateral sphenoid wing to the level of the superior orbital fissure, and drilling along the roof of the orbit to flatten its surface and expand the subfrontal trajectory.
