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13 maj 2024 · Learn about the pterional or fronto-temporo-sphenoidal approach, a common neurocranial craniotomy technique for accessing supratentorial anatomical substrates. Find out its history, anatomy, indications, contraindications, procedure, and complications.
Learn how to perform a pterional craniotomy, a common and versatile approach to lesions along the anterior and middle skull base. This web page covers the indications, preoperative considerations, operative anatomy, and pearls and pitfalls of this technique.
Pterion is the region where four skull bones meet on the side of the head, behind the temple. It is the weakest part of the skull and can be fractured or ruptured by trauma, causing epidural hematoma or aneurysm.
16 sty 2024 · The pterional or frontosphenotemporal craniotomy has stood the test of time and continues to be a commonly used method of managing a variety of neurosurgical pathology. Already described in the beginning of the twentieth century and perfected by Yasargil in the 1970s, it has seen many modifications. These modifications have been a normal ...
1 cze 2001 · The pterional or the frontotemporosphenoidal approach is one of the most commonly used surgical approaches in neurosurgery. Designed and popularized by Yasargil in the 1970s, this approach consists of approaching the brain and the anterior skull base through their lateral aspect by removing the frontal and temporal bones and the greater wing of ...
1 cze 2001 · The key steps of the pterional approach are positioning, skin incision, interfascial dissection, craniotomy, drilling of the sphenoid wing, and the dural opening. After the bone removal, the ...
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.