Back to Search Start Over

Superficial Temporal Artery-Sparing Mini-Pterional Approach for Cerebral Aneurysm Surgery

Superficial Temporal Artery-Sparing Mini-Pterional Approach for Cerebral Aneurysm Surgery

Authors :
Won Hee Lee
Sung Tae Kim
Ki-Chang Yi
Young-Gyun Jeong
Jun-Young Ahn
Sung Hwa Paeng
Source :
Journal of Korean Neurosurgical Society
Publication Year :
2017
Publisher :
Korean Neurosurgical Society, 2017.

Abstract

Objective The purposes of this study were to introduce a superficial temporal artery (STA)-sparing mini-pterional approach for the treatment of cerebral aneurysms and review the surgical results of this approach. Methods Between June 2010 and December 2015, we performed the STA-sparing mini-pterional approach for 117 patients with 141 unruptured intracranial aneurysms. We analyzed demographic, radiologic, and clinical variables including age, sex, craniotomy size, aneurysm location, height of STA bifurcation, and postoperative complications. Results The mean age of patients was 58.4 years. The height of STA bifurcation from the superior border of the zygomatic arch was 20.5 mm±10.0 (standard deviation [SD]). The craniotomy size was 1051.6 mm2±206.5 (SD). Aneurysm neck clipping was possible in all cases. Intradural anterior clinoidectomy was performed in four cases. Contralateral approaches to aneurysms were adopted for four cases. Surgery-related complications occurred in two cases. Permanent morbidity occurred in one case. Conclusion Our STA-sparing mini-pterional approach for surgical treatment of cerebral aneurysms is easy to learn and has the advantages of small incision, STA sparing, and a relatively wide surgical field. It may be a good alternative to the conventional pterional approach for treating cerebral aneurysms.

Details

ISSN :
15987876 and 20053711
Volume :
60
Database :
OpenAIRE
Journal :
Journal of Korean Neurosurgical Society
Accession number :
edsair.doi.dedup.....1edf29d09beb8033c8becf618468a06f
Full Text :
https://doi.org/10.3340/jkns.2016.0707.004