Modified Supraorbital Keyhole Approach to Anterior Circulation Aneurysms

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Modified Supraorbital Keyhole Approach to Anterior Circulation Aneurysms.

OBJECTIVE To select a surgical approach for aneurysm clipping by comparing 2 approaches. MATERIALS AND METHODS 204 patients diagnosed with subarachnoid hemorrhage treated by the same neurosurgeon at a single institution from November 2011 to October 2013, 109 underwent surgical clipping. Among these, 40 patients with Hunt and Hess or Fisher grades 2 or lower were selected. Patients were assig...

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Supraorbital keyhole approach for anterior circulation aneurysms.

AIM Supraorbital keyhole approach provides access to the major part of the anterior circulation aneurysms. Herein, our surgical experience of supraorbital keyhole approach and its some modification have been proposed. MATERIAL AND METHODS Out of a series of 76 patients harboring 80 aneurysms operated on via a supraorbital keyhole approach with a superciliar or front wrinkle skin incision, the...

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Pterion keyhole approach for anterior circulation aneurysms

Introduction: Recent advancement of intravascular technique has minimized the operative invasiveness. In rivalry with this technique, aneurysmal clipping has become less and less invasive. Hitherto, three less invasive surgical approaches as supraorbital keyhole approach, lateral supraorbital keyhole approach, and pterion keyhole approach, have been proposed for the clipping of the anterior cir...

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Transciliary supraorbital keyhole approach in the management of aneurysms of anterior circulation: Operative nuances.

BACKGROUND With improvement in neuroimaging, instrumentation and operative microscope optics, and with better understanding of microneuroanatomy, it is now possible to approach intracranial aneurysms of anterior circulation through a small eyebrow incision. AIM The objective of the study is to highlight the advantages and limitations of transciliary supraorbital keyhole craniotomy for clippin...

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Superciliary Keyhole Approach for Unruptured Anterior Circulation Aneurysms: Surgical Technique, Indications, and Contraindications

Neurosurgeons have been trying to reduce surgical invasiveness by applying minimally invasive keyhole approaches. Therefore, this paper clarifies the detailed surgical technique, its limitations, proper indications, and contraindications for a superciliary keyhole approach as a minimally invasive modification of a pterional approach. Successful superciliary keyhole surgery for unruptured aneury...

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ژورنال

عنوان ژورنال: Journal of Cerebrovascular and Endovascular Neurosurgery

سال: 2016

ISSN: 2234-8565,2287-3139

DOI: 10.7461/jcen.2016.18.1.5