How I do it—Helsinki style mini-pterional craniotomy for clipping of middle cerebral artery bifurcation aneurysms

BACKGROUND: Different versions of the mini-pterional (MPT) approach have been described often with the idea the smaller the better. Attempts to reduce incision and craniotomy size for better cosmetic results should not be performed at the expense of safety. METHOD: We present our take on the MPT as...

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Autores principales: Veldeman, Michael, Rossmann, Tobias, Niemelä, Mika, Lehecka, Martin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Vienna 2022
Materias:
How I Do It - Vascular Neurosurgery - Aneurysm
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9922211/
https://www.ncbi.nlm.nih.gov/pubmed/36577817
http://dx.doi.org/10.1007/s00701-022-05458-6
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author Veldeman, Michael
Rossmann, Tobias
Niemelä, Mika
Lehecka, Martin
author_facet Veldeman, Michael
Rossmann, Tobias
Niemelä, Mika
Lehecka, Martin
author_sort Veldeman, Michael
collection PubMed
description BACKGROUND: Different versions of the mini-pterional (MPT) approach have been described often with the idea the smaller the better. Attempts to reduce incision and craniotomy size for better cosmetic results should not be performed at the expense of safety. METHOD: We present our take on the MPT as a balance between size and safety which can be adopted by vascular neurosurgeons in training. The craniotomy stays within the confines of the superior temporal line and is completely covered by temporal muscle after closure. CONCLUSION: This approach is cosmetically superior while still offering anatomical familiarity and sufficient instrument maneuverability. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s00701-022-05458-6.
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spelling pubmed-99222112023-02-13 How I do it—Helsinki style mini-pterional craniotomy for clipping of middle cerebral artery bifurcation aneurysms Veldeman, Michael Rossmann, Tobias Niemelä, Mika Lehecka, Martin Acta Neurochir (Wien) How I Do It - Vascular Neurosurgery - Aneurysm BACKGROUND: Different versions of the mini-pterional (MPT) approach have been described often with the idea the smaller the better. Attempts to reduce incision and craniotomy size for better cosmetic results should not be performed at the expense of safety. METHOD: We present our take on the MPT as a balance between size and safety which can be adopted by vascular neurosurgeons in training. The craniotomy stays within the confines of the superior temporal line and is completely covered by temporal muscle after closure. CONCLUSION: This approach is cosmetically superior while still offering anatomical familiarity and sufficient instrument maneuverability. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s00701-022-05458-6. Springer Vienna 2022-12-29 2023 /pmc/articles/PMC9922211/ /pubmed/36577817 http://dx.doi.org/10.1007/s00701-022-05458-6 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle How I Do It - Vascular Neurosurgery - Aneurysm
Veldeman, Michael
Rossmann, Tobias
Niemelä, Mika
Lehecka, Martin
How I do it—Helsinki style mini-pterional craniotomy for clipping of middle cerebral artery bifurcation aneurysms
title How I do it—Helsinki style mini-pterional craniotomy for clipping of middle cerebral artery bifurcation aneurysms
title_full How I do it—Helsinki style mini-pterional craniotomy for clipping of middle cerebral artery bifurcation aneurysms
title_fullStr How I do it—Helsinki style mini-pterional craniotomy for clipping of middle cerebral artery bifurcation aneurysms
title_full_unstemmed How I do it—Helsinki style mini-pterional craniotomy for clipping of middle cerebral artery bifurcation aneurysms
title_short How I do it—Helsinki style mini-pterional craniotomy for clipping of middle cerebral artery bifurcation aneurysms
title_sort how i do it—helsinki style mini-pterional craniotomy for clipping of middle cerebral artery bifurcation aneurysms
topic How I Do It - Vascular Neurosurgery - Aneurysm
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9922211/
https://www.ncbi.nlm.nih.gov/pubmed/36577817
http://dx.doi.org/10.1007/s00701-022-05458-6
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