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Published in: Acta Neurochirurgica 1/2019

01-01-2019 | How I Do it - Vascular Neurosurgery - Aneurysm

Transpalpebral approach in skull base surgery: how I do it

Authors: Revaz Semenovich Dzhindzhikhadze, Oleg Nikolaevich Dreval, Valeriy Aleksandrovich Lazarev, Andrey Victorovich Polyakov

Published in: Acta Neurochirurgica | Issue 1/2019

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Abstract

Background

Keyhole surgery has been actively developing in the last two decades. Modern neuroimaging, preoperative individual planning, and innovative neurosurgical equipment allow us to operate through mini craniotomy with minimization of approach-related complications.

Method

Preoperative planning is very critical. After the patient positioning, skin incision, craniotomy, and dura incision are performed. Intradural lesion is reached with standard microneurosurgical technique. A watertight dura closure is important.

Conclusion

Transpalpebral approach can be good alternative to traditional, extended fronto-lateral craniotomies with excellent cosmetic and functional outcomes. Adequate selection of patients is important.
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Metadata
Title
Transpalpebral approach in skull base surgery: how I do it
Authors
Revaz Semenovich Dzhindzhikhadze
Oleg Nikolaevich Dreval
Valeriy Aleksandrovich Lazarev
Andrey Victorovich Polyakov
Publication date
01-01-2019
Publisher
Springer Vienna
Published in
Acta Neurochirurgica / Issue 1/2019
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI
https://doi.org/10.1007/s00701-018-3724-4

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