scholarly journals Transcranial Approaches to the Orbit

2020 ◽  
Vol 81 (04) ◽  
pp. 450-458
Author(s):  
Paul A. Gardner ◽  
Georgios A. Zenonos ◽  
Cleiton Formentin ◽  
Arseniy Pichugin
Keyword(s):  
Minimally Invasive ◽  
Pterional Craniotomy ◽  
Supraorbital Approach ◽  
Wide Access

AbstractTranscranial approaches to the orbit provide familiar and flexible approaches with wide access to the majority of the orbit, only limited in the inferomedial orbit. A pterional craniotomy is the predominant approach but can be expanded with an orbital or zygomatic osteotomy for even wider access. Minimally invasive approaches, such as the lateral supraorbital or “eyebrow” supraorbital approach, are options for selected pathologies and minimize morbidity related to the approach.

scholarly journals Comparative study between minimally invasive supraorbital craniotomy and pterional craniotomy for treating anterior circulation cerebral aneurysms in a low-resource setting

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Ricardo Brandão Fonseca ◽  
Alyne Oliveira Correia ◽  
Raysa Siqueira Vieira ◽  
José Erivaldo Fonseca dos Santos ◽  
Heverty Rocha Alves-Neto ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Operative Time ◽  
Operating Time ◽  
Cerebral Aneurysms ◽  
Length Of Hospital Stay ◽  
Neurological Status ◽  
Aneurysm Rupture ◽  
Anterior Circulation ◽  
Pterional Craniotomy ◽  
Resource Setting

AbstractThe challenges encountered in performing minimally invasive approaches, such as supraorbital minicraniotomy (SOMC), in services without adequate equipment are rarely reported in the literature. This study analyzes the viability of SOMC in the treatment of cerebral aneurysms, using exactly the same resources as pterional craniotomy (PC). The results of these two techniques are compared. 35 patients underwent SOMC, compared to 50 patients underwent CP (100 aneurysms in total), using the same microsurgical instruments. The following variables were compared: operative time, angiographic cure, length of intensive care unit stay during the post-operative period, surgical complications, length of hospital stay after surgery until hospital discharge, intraoperative aneurysm rupture, aesthetic satisfaction with the scar, and neurological status at discharge. SOMC had a significantly shorter operative time in relation to PC (213.9 ± 11.09 min and 268.6 ± 15.44 min, respectively) (p = 0.0081).With respect to the cosmetic parameters assessed by the Visual Analog Scale, the average for SOMC was 94.12 ± 1.92 points, and the average for PC was 83.57 ± 4.75 points (p = 0.036). SOMC was as effective as PC in relation to successful aneurysm clipping (p = 0.77). The SOMC technique did not show advantages over PC in any other variable. Even in a general neurosurgery service lacking a specific structure for minimally invasive surgeries, SOMC was feasible and effective for treating intracranial aneurysms, using the same set of microsurgical instruments used for PC, obtaining better results in operating time and cosmetic satisfaction.

Minimally Invasive Aneurysm Clipping: The Extent of the Supraorbital Approach

2019 ◽  
Vol 127 ◽  
pp. e1132-e1136
Author(s):  
Hamid Reza Niknejad ◽  
Luc Stockx ◽  
Jan Wuyts
Keyword(s):  
Minimally Invasive ◽  
Aneurysm Clipping ◽  
Supraorbital Approach

Minimally Invasive Alternative Approaches to Pterional Craniotomy: A Systematic Review of the Literature

2018 ◽  
Vol 113 ◽  
pp. 163-179 ◽  
Author(s):  
Jonathan Rychen ◽  
Davide Croci ◽  
Michel Roethlisberger ◽  
Erez Nossek ◽  
Matthew Potts ◽  
...  
Keyword(s):  
Systematic Review ◽  
Minimally Invasive ◽  
Review Of The Literature ◽  
Pterional Craniotomy ◽  
Alternative Approaches

Quantification of Working Volumes, Exposure, and Target-Specific Maneuverability of the Pterional Craniotomy and Its Minimally Invasive Variants

2017 ◽  
Vol 101 ◽  
pp. 710-717.e2 ◽  
Author(s):  
Max Jägersberg ◽  
Jerermy Brodard ◽  
Jimmy Qiu ◽  
Alireza Mansouri ◽  
Francesco Doglietto ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Pterional Craniotomy

Considerations in Dysphagia Management Following Esophagectomy

2016 ◽  
Vol 1 (13) ◽  
pp. 169-176
Author(s):  
Lisa M. Evangelista ◽  
James L. Coyle
Keyword(s):  
Esophageal Cancer ◽  
Minimally Invasive ◽  
Minimally Invasive Surgical Procedures ◽  
Esophageal Resection ◽  
Minimally Invasive Surgical ◽  
Operative Complications ◽  
Swallowing Difficulties ◽  
Epidemiological Impact ◽  
Invasive Techniques ◽  
Management Of Dysphagia

Esophageal cancer is the sixth leading cause of death from cancer worldwide. Esophageal resection is the mainstay treatment for cancers of the esophagus. While curative, surgical resection may result in swallowing difficulties that require intervention from speech-language pathologists (SLPs). Minimally invasive surgical procedures for esophageal resection have aimed to reduce morbidity and mortality associated with more invasive techniques. Both intra-operative and post-operative complications, regardless of the surgical approach, can result in dysphagia. This article will review the epidemiological impact of esophageal cancers, operative complications resulting in dysphagia, and clinical assessment and management of dysphagia pertinent to esophageal resection.

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