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Related Concept Videos

Cranial Bones: Lateral View01:27

Cranial Bones: Lateral View

7.4K
The lateral view of the cranium is dominated by temporal, sphenoid, and ethmoid bones.
The temporal bone forms the lower lateral side of the skull. The temporal bone is subdivided into several regions. The flattened upper portion is the squamous portion of the temporal bone. Below this area and projecting anteriorly is the zygomatic process of the temporal bone, which forms the posterior portion of the zygomatic arch. Posteriorly is the mastoid portion of the temporal bone. Projecting...
7.4K

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The modified lateral supraorbital approach.

Umit Kocaman1, Tayfun Dalbasti2, Mehmet Haluk Ozer3

  • 1a Department of Neurosurgery , Izmir Cigli Education and Research Hospital , Izmir , Turkey.

British Journal of Neurosurgery
|December 7, 2017
PubMed
Summary

The modified lateral supraorbital approach (MLSA) offers a faster, simpler, and less invasive surgical option compared to traditional pterional and lateral supraorbital approaches. This technique is effective for treating various neurosurgical pathologies, including aneurysms and meningiomas.

Keywords:
Modified lateral supraorbital approachpterional approachsphenofrontal craniotomysupraorbital approach

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Area of Science:

  • Neurosurgery
  • Minimally Invasive Surgery
  • Surgical Approaches

Background:

  • The pterional approach (PA) and lateral supraorbital approach (LSA) are established neurosurgical techniques.
  • Variations in these approaches aim to improve surgical outcomes and reduce invasiveness.

Purpose of the Study:

  • To evaluate the efficacy and outcomes of the modified lateral supraorbital approach (MLSA).
  • To compare the MLSA with the pterional approach (PA) and lateral supraorbital approach (LSA) in terms of speed, simplicity, and invasiveness.

Main Methods:

  • A retrospective analysis of 100 cases treated with MLSA between 2012 and 2015.
  • Data collected included patient demographics, Glasgow Coma Scale, pathology location, surgical details, hospital stay, and Glasgow Outcome Scale.

Main Results:

  • The study included 58% male and 42% female patients.
  • Common pathologies treated were anterior communicating artery aneurysms (41%) and tuberculum sella/medial sphenoid wing meningiomas (22%).
  • The overall mortality rate was 4%.

Conclusions:

  • The modified lateral supraorbital approach (MLSA) is demonstrated to be faster, simpler, and less invasive than the pterional approach (PA) and lateral supraorbital approach (LSA).
  • MLSA provides a viable and effective surgical option for anterior circulation neurosurgical pathologies.