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Related Experiment Video

Updated: May 23, 2026

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

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Endoscopic forehead-scalp flap fixation with K-wire

S K Kim1

  • 1Palo Alto, California, USA.

Aesthetic Plastic Surgery
|May 1, 1996
PubMed
Summary

A novel technique simplifies brow elevation using direct fixation of scalp-periosteal flaps with K-wires. This method offers reliable brow positioning and straightforward postoperative care for patients.

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Area of Science:

  • Neurosurgery
  • Plastic Surgery
  • Surgical Techniques

Background:

  • Endoscopic brow lift procedures aim to rejuvenate the forehead.
  • Accurate and stable fixation of the elevated periosteal flap is crucial for aesthetic outcomes.
  • Existing methods may involve complex fixation or less reliable positioning.

Purpose of the Study:

  • To describe a new, simple, and reliable technique for direct fixation of endoscopically elevated scalp-periosteal flaps.
  • To evaluate the expediency and minimal instrumentation requirements of the described method.
  • To demonstrate reliable determination and fixation of the brow elevation level.

Main Methods:

  • Direct fixation of the endoscopically elevated scalp-periosteal flap to the underlying skeleton.
  • Utilizing transcutaneous K-wires for secure flap stabilization.
  • Describing instrumentation options for the procedure.

Main Results:

  • The technique is simple and expedient to perform.
  • Minimal instrumentation is required.
  • Reliable determination and fixation of brow elevation level is achieved.
  • Postoperative care is simple and well-accepted by patients.

Conclusions:

  • This direct fixation technique using transcutaneous K-wires offers a simplified and effective approach to endoscopic brow lifts.
  • The method ensures reliable brow positioning and patient acceptance.
  • It presents a practical alternative with minimal resource requirements.

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