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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 extended pterional corridor can be used to expose parasellar lesions around the circle of Willis and optic apparatus, anterior skull base tumors (including orbital lesions), and interpeduncular and intrasylvian pathologies.
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.
20 lip 2015 · The pterional craniotomy (also known as a frontotemporal, or frontotemporal sphenoidal craniotomy) is one of the most widely used neurosurgical approaches. It facilitates a broad frontobasal exposure, while simultaneously minimizing brain retraction.
Efficient performance of Pterional Craniotomy is important and this video reviews technical nuances and pitfalls for this operative corridor. Starting with patient positioning, we will discuss the incision.
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.
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