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13 maj 2024 · Procedure. A broad outline of steps followed in performing a pterional craniotomy includes 7: induction and general anesthesia; supine positioning
The extended pterional craniotomy must be tailored to the specific underlying pathology. The following steps describe the general principles of this approach, whereas the other relevant chapters review tailored exposures and intradural dissection via this route.
1 kwi 2007 · The key steps of the pterional approach are positioning, skin incision, interfascial dissection, craniotomy, drilling of the sphenoid wing, and the dural opening.
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.
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 sty 2020 · Planning and marking the incision. Before the incision is drawn, the midline is identified and marked. The incision for a pterional craniotomy is curvilinear and courses from the root of the zygoma to the anterior midline. The incision is divided into two segments.
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 approach mostly utilized in the modern neurosurgery.