[Our current technique for basic pterional craniotomy].
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.
Kaneko
Nobuyuki
N
Department of Neurosurgery, Saitama Cardiovascular and Respiratory Center, 1696 Itai, Kounan-machi, Osato-gun, Saitama 360-0105, Japan. a1096150@pref.saitama.lg.jp
Kurita
Hiroki
H
Hino
Ken
K
Nagayama
Kazuki
K
Tsubokawa
Tamiji
T
Tanaka
Naoko
N
Fujitsuka
Mitsuyuki
M
Nakamura
Masanao
M
Shiokawa
Yoshiaki
Y
D000758:Anesthesia / Q000379:methods; D003399:Craniotomy / Q000379:methods*; D006801:Humans; D011187:Posture; D013242:Sterilization / Q000379:methods; D013524:Surgical Flaps