2019 · ACTA NEUROCHIRURGICA

Interfascial approach for pterional craniotomy: technique and adjustments to prevent cosmetic complications

Baucher, Guillaume, Bernard, Florian, Graillon, Thomas, Dufour, Henry

Journal
ACTA NEUROCHIRURGICA
Année
2019
Volume
161
Numéro
11
Pages
2353-2357
Mois
NOV
DOI
10.1007/s00701-019-04058-1

Abstract

Background Interfascial dissection for pterional craniotomy is one of the main techniques to expose the pterional region. Method A step-by-step optimized method of interfascial dissection to avoid three main esthetic complications of the pterional approach-upper facial nerve palsy, temporal muscle atrophy, and retro-orbital depression. A video of the interfascial dissection and three artistic drawings are provided in support of this technique. Conclusion A safe method of interfascial dissection, respecting anatomy, and avoiding cosmetic complications has been proposed.

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