The Usefulness of the Frontolateral Approach as a Minimally Invasive Corridor for Clipping of Anterior Circulation Aneurysm.
10.7461/jcen.2014.16.3.235
- Author:
Jeyul YANG
1
;
Chang Wan OH
;
O Ki KWON
;
Gyojun HWANG
;
Tackeun KIM
;
Jong Un MOON
;
Seong Yeol AHN
;
Jun Hak KIM
;
Jinseong KIM
;
Jae Seung BANG
Author Information
1. Department of Neurosurgery, Seoul National University Bundang Hospital, Seongnam, Korea. nsbang@snubh.org
- Publication Type:Original Article
- Keywords:
Frontolateral craniotomy;
Temporal depression;
Conventional pterional craniotomy;
Unruptured intracranial aneurysm;
Clipping;
Minimal aesthetic mutilation
- MeSH:
Aneurysm*;
Arteries;
Craniotomy;
Depression;
Humans;
Intensive Care Units;
Intracranial Aneurysm;
Length of Stay;
Medical Records;
Postoperative Complications;
Retrospective Studies
- From:Journal of Cerebrovascular and Endovascular Neurosurgery
2014;16(3):235-240
- CountryRepublic of Korea
- Language:English
-
Abstract:
OBJECTIVE: Several studies have reported on the effectiveness of fronto-lateral craniotomy in reducing the operating time and post-operative complications. However, no study has practically evaluated this method from the cosmetic point of view. MATERIALS AND METHODS: We designed this study for comparison of the clinical differences and cosmetic outcomes between the frontolateral craniotomy and the conventional pterional craniotomy for clipping of unruptured intracranial aneurysms. We performed a retrospective analysis of the two groups based on their medical records and radiologic findings juxtaposed with their length of hospital stay, intensive care unit day and operation time, and the emergence of postoperative complication, mean size of aneurysm, and temporal depression. RESULTS: After careful comparison of the thickness of temporalis muscle between the craniotomy side and the contralateral side, the results clearly showed that the conventional pterional craniotomy group was asymmetric by a p value of 0.152 and the frontolateral craniotomy group was symmetric by a p value of 0.002. CONCLUSION: Frontolateral craniotomy could be a practical alternative for patients with an unruptured intracranial aneurysm in the anterior circulation including the posterior communicating artery, particularly those who are in a medically poor state or who highly demand minimal aesthetic mutilation.
