Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Video

Updated: Jul 26, 2025

Minimally Invasive Thumb-sized Pterional Craniotomy for Surgical Clip Ligation of Unruptured Anterior Circulation Aneurysms
11:58

Minimally Invasive Thumb-sized Pterional Craniotomy for Surgical Clip Ligation of Unruptured Anterior Circulation Aneurysms

Published on: August 11, 2015

15.6K

Minimally Invasive Posterolateral Transcavernous Transtentorial Approach: 2-Dimensional Operative Video.

Arnau Benet1,2, Ramon Salinas2, Alberto Bustos Andrade2

  • 1Department of Neurosurgery, Barrow Neurological Institute, Phoenix, USA.

Operative Neurosurgery (Hagerstown, Md.)
|June 23, 2023
PubMed
Summary

MIPLATTA, a skull base surgery approach, utilizes a key-exposure concept for accessing complex lesions. Mastery of anterior clinoid process and cavernous sinus anatomy is crucial for safe and effective surgical outcomes.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Designing a novel program for emergency neurosurgical task-sharing in Indonesia: Evidence base from a meta-analysis of global task-sharing outcomes.

Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia·2026
Same author

One-year outcomes of unruptured intracranial aneurysms < 5 mm in a Latin American multicenter cohort of 1,098 patients.

Neurosurgical review·2026
Same author

Risk of post-revascularization stroke in Moyamoya disease: A systematic review, meta-analysis, and meta-regression.

Neurosurgical review·2026
Same author

Minimally Invasive Posterolateral Transcavernous Transtentorial Approach for Giant Epidermoid Cysts: Case Series.

Operative neurosurgery (Hagerstown, Md.)·2026
Same author

Gender Disparities and Neurosurgical Training Among Residents From the Andean Community in Latin America.

Neurosurgery practice·2026
Same author

Treatment-related complications of intracranial aneurysms smaller than 5 mm: A multicenter analysis of 1,519 cases in Latin America.

Surgical neurology international·2026

Area of Science:

  • Neurosurgery
  • Skull Base Surgery
  • Microsurgery

Background:

  • The Medial Pterional Approach with Lateral Extension (MIPLATTA) is a skull base surgical technique.
  • It employs a "key-exposure" strategy, integrating a minipterional craniotomy with extradural transcavernous transtentorial corridors.
  • This approach is designed for accessing challenging skull base pathologies.

Discussion:

  • Successful MIPLATTA hinges on a deep understanding of the anterior clinoid process (ACP) and cavernous sinus (CS) anatomy.
  • Preoperative planning must meticulously assess ACP pneumatization, tumor location relative to critical structures (CS, ACP, tentorium), and venous drainage patterns, particularly the vein of Labbé.
  • Potential complications include neurological deficits from incomplete nerve release and temporal lobe infarcts due to inadequate craniotomy extent, underscoring the importance of detailed anatomical knowledge.

More Related Videos

Cone Beam Intraoperative Computed Tomography-based Image Guidance for Minimally Invasive Transforaminal Interbody Fusion
05:37

Cone Beam Intraoperative Computed Tomography-based Image Guidance for Minimally Invasive Transforaminal Interbody Fusion

Published on: August 6, 2019

6.4K
The Microscopic Transcanal Approach in Stapes Surgery Revisited
07:35

The Microscopic Transcanal Approach in Stapes Surgery Revisited

Published on: February 16, 2022

2.4K

Related Experiment Videos

Last Updated: Jul 26, 2025

Minimally Invasive Thumb-sized Pterional Craniotomy for Surgical Clip Ligation of Unruptured Anterior Circulation Aneurysms
11:58

Minimally Invasive Thumb-sized Pterional Craniotomy for Surgical Clip Ligation of Unruptured Anterior Circulation Aneurysms

Published on: August 11, 2015

15.6K
Cone Beam Intraoperative Computed Tomography-based Image Guidance for Minimally Invasive Transforaminal Interbody Fusion
05:37

Cone Beam Intraoperative Computed Tomography-based Image Guidance for Minimally Invasive Transforaminal Interbody Fusion

Published on: August 6, 2019

6.4K
The Microscopic Transcanal Approach in Stapes Surgery Revisited
07:35

The Microscopic Transcanal Approach in Stapes Surgery Revisited

Published on: February 16, 2022

2.4K

Key Insights:

  • The MIPLATTA technique involves specific surgical steps, including interfascial flaps for facial nerve preservation, extradural anterior clinoidectomy, variable transcavernous dissection (Hakuba method), specific dural opening, transtentorial dissection (potentially Kawase), and watertight closure with autologous grafts.
  • Variations of MIPLATTA cater to different pathologies: basic for optic nerve decompression/parasellar lesions, extended for middle fossa/sphenoid ridge/giant clinoid tumors, and full for posterior fossa tumors with endoscopic assistance.
  • Thorough anatomical knowledge of the cavernous sinus is paramount for preventing surgical catastrophes.

Outlook:

  • Continued refinement of MIPLATTA techniques and preoperative planning will enhance safety and efficacy in skull base surgery.
  • Further research into endoscopic-assisted variations may expand the applicability of MIPLATTA for complex tumors.
  • Education emphasizing detailed anatomical understanding of the skull base is vital for neurosurgical training.