title: [Our current technique for basic pterional craniotomy].
abstract: Pterional cnaniotomy is frequently used in neurosurgical practice, but still poses significant cosmetic and functional drawbacks. Here, we describe our modified technique to overcome such problems as the sterilization of the scalp without brush and razor, preemptive analgesia, preservation of the periostium for reconstruction, retrograde dissection of the temporal muscle, and complete sphenoidotomy using chisel or drills. The tips of our pterional craniotomy offer suitable size and depth of working field around the paraclinoidal regions, maintaining cosmetic satisfaction of the patients.
authors.affiliation: Department of Neurosurgery, Saitama Cardiovascular and Respiratory Center, 1696 Itai, Kounan-machi, Osato-gun, Saitama 360-0105, Japan. a1096150@pref.saitama.lg.jp
authors.forename: Nobuyuki
authors.initials: N
authors.lastname: Kaneko
authors.forename: Hiroki
authors.initials: H
authors.lastname: Kurita
authors.forename: Ken
authors.initials: K
authors.lastname: Hino
authors.forename: Kazuki
authors.initials: K
authors.lastname: Nagayama
authors.forename: Tamiji
authors.initials: T
authors.lastname: Tsubokawa
authors.forename: Naoko
authors.initials: N
authors.lastname: Tanaka
authors.forename: Mitsuyuki
authors.initials: M
authors.lastname: Fujitsuka
authors.forename: Masanao
authors.initials: M
authors.lastname: Nakamura
authors.forename: Yoshiaki
authors.initials: Y
authors.lastname: Shiokawa
mesh_terms: D000758:Anesthesia / Q000379:methods; D003399:Craniotomy / Q000379:methods*; D006801:Humans; D011187:Posture; D013242:Sterilization / Q000379:methods; D013524:Surgical Flaps