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Published in: Acta Neurochirurgica 11/2019

01-11-2019 | Craniotomy | How I Do it - Neurosurgical Anatomy

Interfascial approach for pterional craniotomy: technique and adjustments to prevent cosmetic complications

Authors: Guillaume Baucher, Florian Bernard, Thomas Graillon, Henry Dufour

Published in: Acta Neurochirurgica | Issue 11/2019

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Abstract

Background

Interfascial dissection for pterional craniotomy is one of the main techniques to expose the pterional region.

Method

A step-by-step optimized method of interfascial dissection to avoid three main esthetic complications of the pterional approach—upper facial nerve palsy, temporal muscle atrophy, and retro-orbital depression. A video of the interfascial dissection and three artistic drawings are provided in support of this technique.

Conclusion

A safe method of interfascial dissection, respecting anatomy, and avoiding cosmetic complications has been proposed.
Appendix
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Literature
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Metadata
Title
Interfascial approach for pterional craniotomy: technique and adjustments to prevent cosmetic complications
Authors
Guillaume Baucher
Florian Bernard
Thomas Graillon
Henry Dufour
Publication date
01-11-2019
Publisher
Springer Vienna
Published in
Acta Neurochirurgica / Issue 11/2019
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI
https://doi.org/10.1007/s00701-019-04058-1

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