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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 type of craniotomy performed depends on the location of the lesion, with the goal being to minimize brain retraction so as to reduce the risk for perioperative intracerebral hemorrhage. Main types of craniotomy: pterional (frontosphenotemporal) subtemporal; anterior or posterior parasagittal; median or lateral suboccipital . Normal imaging ...
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.
24 lis 2012 · We have used a two-part pterional craniotomy that avoids the need for drilling and document the modification of the standard technique here. Methods: Two burr holes are placed, one behind the key point over the frontal fossa as well as one on the temporal fossa.
Pterional craniotomy is a work horse approach among cranial approaches. This video reviews the extended pterional craniotomy with some modifications to expand its operative reach through the sub frontal corridor.
1 wrz 2012 · The key steps of the pterional approach are positioning, skin incision, interfascial dissection, craniotomy, drilling of the sphenoid wing, and the dural opening.
7 cze 2019 · The pterional craniotomy is extended toward the frontal bone providing access through the subfrontal route, besides the usual anterolateral view provided by the classical pterional approach.
