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Published in: Acta Neurochirurgica 6/2018

01-06-2018 | How I Do it - Vascular Neurosurgery - Aneurysm

Supraorbital approach through eyebrow skin incision for aneurysm clipping: how I do it

Authors: Alessio Chiappini, Francesco Marchi, Michael Reinert, Thomas Robert

Published in: Acta Neurochirurgica | Issue 6/2018

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Abstract

Background

Surgery has been in a huge development where the aim is to achieve same or better results with less complication in a less invasive way; these minimal approaches can be applied in a very safe way to aneurysmal neurosurgery.

Method

Images are studied to optimize the patient positioning and the surgical roadmap. After the positioning, the skin incision, craniotomy, and dura incision are performed and intradural lesion is reached. A watertight closure is performed under the microscope.

Conclusion

The keyhole approach requires some adaption from the side of the surgeon and can be performed only in cases envisioned to have no increased risk for the patient.
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Metadata
Title
Supraorbital approach through eyebrow skin incision for aneurysm clipping: how I do it
Authors
Alessio Chiappini
Francesco Marchi
Michael Reinert
Thomas Robert
Publication date
01-06-2018
Publisher
Springer Vienna
Published in
Acta Neurochirurgica / Issue 6/2018
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI
https://doi.org/10.1007/s00701-018-3528-6

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