Modified trans-middle temporal gyrus approach for trigonal tumor to preserve visual field.
OBJECTIVE
We evaluated a modified trans-middle temporal gyrus (MTG) approach with good postoperative visual preservation for patients with trigonal tumors.


METHODS
Three patients with a trigonal tumor were treated via the modified trans-MTG approach guided by a neuro-navigator. Modified trans-MTG approach involve the incision at the MTG within 5 mm to the superior temporal sulcus. This approach makes a proper trajectory to the trigone but also reduces the retraction injury of MTG as little as possible to prevent postoperative visual field defect. Preoperative and postoperative visual field examination using perimetry was performed to evaluate the visual field.


RESULTS
Three patients underwent surgery for lymphoma in the right trigone, meningioma in the left trigone, and focal enhancing nodule in the right paratrigonal area, respectively. In case of lymphoma, preoperative examination showed a left homonymous hemianopsia : one week later after surgery, a visual field examination was performed and revealed improvement of the visual field defect. In case of the meningioma, the preoperative examination showed no visual field defect : one month later, the visual field had no defect. In case of the enhancing nodule, preoperative visual field testing revealed a partial left homonymous hemianopsia. Visual examination within one month after surgery showed no visual field defect. All three patients treated with the modified trans-MTG approach showed no visual deterioration after surgery.


CONCLUSIONS
The modified trans-MTG approach provides a safe and useful technique for trigonal tumors without postoperative visual field deterioration and affords adequate exposure of the trigonal tumor with a short trajectory.
Department of Neurosurgery, Chonnam National University Hwasun Hospital & Chonnam Medical School, the Brain Korea 21 Project, Chonnam National University Research Institute of Medical Sciences, Gwangju, Korea.
Jeong-Wook
JW
Choi
Shin
S
Jung
Tae-Young
TY
Jung
Woo-Youl
WY
Jang
Kyung-Sub
KS
Moon
In-Young
IY
Kim