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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.
The pterional, or frontotemporal, approach was developed by Gazi Yasargil in the 1970s. [33,34] It is the most widely used approach for supratentorial lesions. This approach is the standard craniotomy for treating anterior Circle of Willis aneurysms and the cavernous sinus.
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.
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...
1 kwi 2007 · This article intends to describe in a didactical and practical manner the frontotemporosphenoidal craniotomy, that is usually known as pterional craniotomy and that constitute the cranial...
The charts, operative reports and imaging studies were reviewed. Results We identified 17 males (58.6%) and 12 females (41.3%) ranging in age from 0.6 to 84 years (mean 57.4 years).
