scholarly journals A Simple Method for Reconstruction of the Temporalis Muscle Using Contourable Strut Plate after Pterional Craniotomy: Introduction of the Surgical Techniques and Analysis of Its Efficacy

2015 ◽  
Vol 17 (2) ◽  
pp. 93 ◽  
Author(s):  
Jin-Hack Park ◽  
Yoon-Soo Lee ◽  
Sang-Jun Suh ◽  
Jeong-Ho Lee ◽  
Kee-Young Ryu ◽  
...  
Keyword(s):  
Surgical Techniques ◽  
Temporalis Muscle ◽  
Simple Method ◽  
Pterional Craniotomy

Temporalis muscle fixation in pterional craniotomy. Technical note

Neurocirugía ◽  
1998 ◽  
Vol 9 (1) ◽  
pp. 74-78 ◽  
Author(s):  
V. Vanaclocha
Keyword(s):  
Technical Note ◽  
Temporalis Muscle ◽  
Pterional Craniotomy

scholarly journals Interdigitated craniotomy: a simple technique to fix a bone flap with only a single plate

2015 ◽  
Vol 123 (4) ◽  
pp. 1055-1058 ◽  
Author(s):  
Noboru Takahashi ◽  
Kazunori Fujiwara ◽  
Keiichi Saito ◽  
Teiji Tominaga
Keyword(s):  
Simple Technique ◽  
Plate Fixation ◽  
Bone Flap ◽  
Cranial Bone ◽  
Temporalis Muscle ◽  
Cosmetic Results ◽  
Pterional Craniotomy ◽  
Single Plate ◽  
Radiological Images ◽  
Cut Surface

In pterional craniotomy, fixation plates cause artifacts on postoperative radiological images; furthermore, they often disfigure the scalp in hairless areas. The authors describe a simple technique to fix a cranial bone flap with only a single plate underneath the temporalis muscle in an area with hair, rather than using a plate in a hairless area. The key to this technique is to cut the anterior site of the bone flap at alternate angles on the cut surface. Interdigitation between the bone flap and skull enables single-plate fixation in the area with hair, which reduces artifacts on postoperative radiological images and provides excellent postoperative cosmetic results.

Osteoplastic Pterional Craniotomy Revisited

2011 ◽  
Vol 68 (suppl_1) ◽  
pp. ons125-ons129 ◽  
Author(s):  
Ealmaan Kim ◽  
Johnny B. Delashaw
Keyword(s):  
Computed Tomography ◽  
Muscle Function ◽  
Bone Flap ◽  
Temporalis Muscle ◽  
Pterional Approach ◽  
3 Dimensional ◽  
Pterional Craniotomy ◽  
Computed Tomography Scans ◽  
Brain Aneurysms ◽  
Additional Labor

Abstract BACKGROUND: A standard pterional approach with a free bone flap to treat brain aneurysms was first introduced and popularized by Yaşargil. OBJECTIVE: To describe a modified pterional craniotomy technique and that mobilizes part of the sphenoid wing and the pterion in a block with the temporalis muscle to enhance cosmetic results. METHODS: A subperiosteal corridor is provided inferiorly by separating the temporalis muscle from the underlying bone in a retrograde dissection. Inferior chisel cuts from the front and back enter the sphenoid wing, enabling removal of part of the sphenoid wing and the pterion in 1 piece, along with the bone flap. Forty patients with aneurysms were treated in this fashion, and the cosmetic outcome was examined at 6 months postoperatively. RESULTS: Thirty-seven patients (92.5%) demonstrated an unremarkable degree of temporalis muscle atrophy. Excellent configuration and fusion of the pterional bone flap were observed on 3-dimensional computed tomography scans. CONCLUSION: With the use of this muscle-preserving and bone-sparing pterional approach and with little additional labor, temporalis muscle function is preserved and improved cosmesis is obtained.

scholarly journals ARTROPLASTIA INTERPOSICIONAL PARA TRATAMENTO DE ANQUILOSE DA ARTICULAÇÃO TEMPOROMANDIBULAR

2013 ◽  
Vol 4 (2) ◽  
Author(s):  
Leonardo Morais Godoy Figueiredo ◽  
Rômulo Oliveira de Hollanda Valente ◽  
Thaís Feitosa Leitão de Oliveira ◽  
Viviane Almeida Sarmento
Keyword(s):  
Surgical Technique ◽  
Surgical Techniques ◽  
Mouth Opening ◽  
Muscle Flap ◽  
Interdisciplinary Team ◽  
Temporalis Muscle ◽  
Adequate Treatment ◽  
Temporal Muscle ◽  
Tmj Ankylosis ◽  
Temporalis Muscle Flap

Introduction: Temporomandibular joint (TMJ) ankylosis is an extremely disabling affliction that causes problems in mastication, digestion, speech, appearance, and hygiene. Objective: Report a case of TMJ ankylosis diagnosed in adulthood and discusses the aspects involved in their treatment, and the use of temporal muscle flap in reconstructive surgery of the TMJ. Cases description: 39 year-old female with mouth opening of 4mm, was diagnosed with left TMJ ankylosis and treated by arthroplasty with interpositional temporalis muscle flap, progressing with mouth opening of 20 mm after two months out surgery. Conclusion: Despite the numerous surgical techniques for the treatment of TMJ ankylosis, it is still a great challenge, because of high rates of recurrence, which is associated with several factors including age, time of onset, surgical technique, and postoperative care performed. Therefore, it is necessary not only an interdisciplinary team to establish a complete and adequate treatment, but also to carry out a correct and early diagnosis in order to establish a treatment the prognosis is favorable to the patient.

Retrograde dissection of the temporalis muscle preventing muscle atrophy for pterional craniotomy

1996 ◽  
Vol 84 (2) ◽  
pp. 297-299 ◽  
Author(s):  
Susumu Oikawa ◽  
Masahiko Mizuno ◽  
Shinsuke Muraoka ◽  
Shigeaki Kobayashi
Keyword(s):  
Muscle Atrophy ◽  
Simple Technique ◽  
Temporalis Muscle ◽  
Content Type ◽  
Pterional Craniotomy ◽  
Less Invasive ◽  
Fine Print

✓ A procedure for preventing muscle atrophy in pterional craniotomy by temporalis muscle dissection is described, along with anatomical considerations. The inferior to superior dissection of the temporalis muscle is a very simple technique and is less invasive than other approaches.

Frontozygomatic Titanium Cranioplasty in Frontosphenotemporal (“Pterional”) Craniotomy

2008 ◽  
Vol 62 (suppl_1) ◽  
pp. ONS262-ONS265 ◽  
Author(s):  
Shaan M. Raza ◽  
Quoc-Anh Thai ◽  
Gustavo Pradilla ◽  
Rafael J. Tamargo
Keyword(s):  
Vascular Malformations ◽  
Titanium Plate ◽  
Temporalis Muscle ◽  
Pterional Craniotomy ◽  
Orbital Pain ◽  
Definitive Solution ◽  
Cosmetic Outcomes ◽  
Common Problems ◽  
Titanium Cranioplasty

Abstract Objective: One of the most common problems after frontosphenotemporal, or pterional, craniotomy is the marked depression of the frontozygomatic fossa caused by atrophy of the temporalis muscle. Although temporalis muscle reconstruction techniques have been proposed to prevent this problem, a definitive solution has not been achieved. We report the results of a titanium cranioplasty technique in a prospective series of patients who underwent frontosphenotemporal craniotomy. Methods: Between April 2002 and June 2006, 209 consecutive patients underwent a frontosphenotemporal craniotomy for aneurysms, vascular malformations, or tumors. At the time of surgery, the patients underwent a frontozygomatic fossa cranioplasty with a titanium plate, to which the temporalis muscle was attached. In this series, 194 patients had documented follow-up periods averaging 9.5 months (range, 1 mo–4 yr; median, 7.5 mo), and the cosmetic results of the cranioplasty have been assessed. Results: The cosmetic outcomes have been outstanding in all patients treated to date. Two patients had the cranioplasty removed due to either orbital pain or local infection secondary to sepsis. Conclusion: The frontozygomatic cranioplasty during frontosphenotemporal craniotomy prevents the characteristic depression at the frontozygomatic fossa and accomplishes an outstanding cosmetic result.

Preservation of the frontotemporal branch of the facial nerve using the interfascial temporalis flap for pterional craniotomy

1987 ◽  
Vol 67 (3) ◽  
pp. 463-466 ◽  
Author(s):  
M. Gazi Yaşargil ◽  
Mark V. Reichman ◽  
Stefan Kubik
Keyword(s):  
Facial Nerve ◽  
Temporalis Muscle ◽  
Content Type ◽  
Pterional Craniotomy ◽  
Fine Print

✓ The pterional craniotomy as described previously by the first author requires creation of a special flap over the temporalis muscle for increased visibility. Topographical variations of the course taken by the frontal branches of the facial nerve were studied and are described in this report.

The Minipterional Craniotomy for Anterior Circulation Aneurysms: Initial Experience With 72 Patients

2014 ◽  
Vol 10 (2) ◽  
pp. 200-207 ◽  
Author(s):  
Justin M. Caplan ◽  
Kyriakos Papadimitriou ◽  
Wuyang Yang ◽  
Geoffrey P. Colby ◽  
Alexander L. Coon ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Middle Cerebral Artery ◽  
Cerebral Artery ◽  
Internal Carotid ◽  
Average Length ◽  
Temporalis Muscle ◽  
Anterior Circulation ◽  
Pterional Craniotomy ◽  
Anterior Circulation Aneurysms

Abstract BACKGROUND: The pterional craniotomy is well established for microsurgical clipping of most anterior circulation aneurysms. The incision and temporalis muscle dissection impacts postoperative recovery and cosmetic outcomes. The minipterional (MPT) craniotomy offers similar microsurgical corridors, with a substantially shorter incision, less muscle dissection, and a smaller craniotomy flap. OBJECTIVE: To report our experience with the MPT craniotomy in select unruptured anterior circulation aneurysms. METHODS: From January 2009 to July 2013, 82 unruptured aneurysms were treated in 72 patients, with 74 MPT craniotomies. Seven patients had multiple aneurysms treated with a single MPT craniotomy. The average patient age was 56 years (range: 24-87). Aneurysms were located along the middle cerebral artery (n = 36), posterior communicating (n = 22), paraophthalmic (n = 22), choroidal (n = 1), and dorsal ICA segments (n = 1). The MPT craniotomy utilized an incision just posterior to the hairline and a single myocutaneous flap. RESULTS: The average aneurysm size was 5.45 mm (range: 1-14). There were no instances of compromised operative corridors requiring craniotomy extension. Three significant early postoperative complications included epidural and subdural hematomas requiring evacuation, and a middle cerebral artery infarction. Average length of hospitalization was 3.96 days (range: 2-20). Two patients required reoperation for wound infections. Average follow-up was 421 days (range: 5-1618). Minimal to no temporalis muscle wasting was noted in 96% of patients. CONCLUSION: The MPT craniotomy is a worthwhile alternative to the standard pterional craniotomy. There were no instances of suboptimal operative corridors and clip applications when the MPT craniotomy was utilized in the treatment of unruptured middle cerebral artery and supraclinoid internal carotid artery aneurysms proximal to the terminal internal carotid artery bifurcation.

scholarly journals Cosmetic outcome after electrocautery versus non-electrocautery dissection of the temporalis muscle for pterional craniotomy

2021 ◽  
Author(s):  
Sang-Woo Lee ◽  
Yoon-Soo Lee ◽  
Min-Seok Lee ◽  
Sang-Jun Suh ◽  
Jeong-Ho Lee ◽  
...  
Keyword(s):  
Cosmetic Outcome ◽  
Temporalis Muscle ◽  
Pterional Craniotomy

Ultrasound-Guided Decompression of the Intermetatarsal Nerve for Morton's Neuroma: A Novel Closed Surgical Technique

2020 ◽  
Vol 110 (6) ◽  
Author(s):  
Alvaro Iborra-Marcos ◽  
Manuel Villanueva-Martinez ◽  
Stephen L. Barrett ◽  
Pablo Sanz-Ruiz
Keyword(s):  
Outpatient Surgery ◽  
Surgical Techniques ◽  
Normal Activity ◽  
Second Phase ◽  
Ultrasound Guided ◽  
Morton’S Neuroma ◽  
Simple Method ◽  
Postoperative Wound ◽  
Morton's Neuroma ◽  
Neurovascular Damage

Background This study describes the technique for decompression of the intermetatarsal nerve in Morton's neuroma by ultrasound-guided surgical resection of the transverse intermetatarsal ligament. This technique is based on the premise that Morton's neuroma is primarily a nerve entrapment disease. As with other ultrasound-guided procedures, we believe that this technique is less traumatic, allowing earlier return to normal activity, with less patient discomfort than with traditional surgical techniques. Methods We performed a pilot study on 20 cadavers to ensure that the technique was safe and effective. No neurovascular damage was observed in any of the specimens. In the second phase, ultrasound-guided release of the transverse intermetatarsal ligament was performed on 56 patients through one small (1- to 2-mm) portal using local anesthesia and outpatient surgery. Results Of the 56 participants, 54 showed significant improvement and two did not improve, requiring further surgery (neurectomy). The postoperative wound was very small (1–2 mm). There were no cases of anesthesia of the interdigital space, and there were no infections. Conclusions The ultrasound-guided decompression of intermetatarsal nerve technique for Morton's neuroma by releasing the transverse intermetatarsal ligament is a safe, simple method with minimal morbidity, rapid recovery, and potential advantages over other surgical techniques. Surgical complications are minimal, but it is essential to establish a good indication because other biomechanical alterations to the foot can influence the functional outcome.

Sign in / Sign up

Export Citation Format

Share Document