Standard Orbitozygomatic Craniotomy versus Mini Orbitozygomatic Craniotomy via an Eyebrow Incision for Microsurgical Treatment of Anterior Communicating Artery Aneurysms.

Autor:	Peters DR; Department of Neurosurgery, Atrium Health's Carolinas Medical Center, Charlotte, North Carolina, United States.; Carolina Neurosurgery and Spine Associates, Charlotte, North Carolina, United States., Mulvaney G; Department of Neurosurgery, Atrium Health's Carolinas Medical Center, Charlotte, North Carolina, United States.; Carolina Neurosurgery and Spine Associates, Charlotte, North Carolina, United States., Monk S; Department of Neurosurgery, Atrium Health's Carolinas Medical Center, Charlotte, North Carolina, United States.; Carolina Neurosurgery and Spine Associates, Charlotte, North Carolina, United States., Karimian B; Brody School of Medicine, East Carolina University, Greenville, North Carolina, United States., Wait SD; Department of Neurosurgery, Atrium Health's Carolinas Medical Center, Charlotte, North Carolina, United States.; Carolina Neurosurgery and Spine Associates, Charlotte, North Carolina, United States.; Department of Pediatric Neurosurgery, Levine Children's Hospital, Charlotte, North Carolina, United States.
Jazyk:	angličtina
Zdroj:	Journal of neurological surgery. Part B, Skull base [J Neurol Surg B Skull Base] 2023 Apr 18; Vol. 85 (4), pp. 431-437. Date of Electronic Publication: 2023 Apr 18 (Print Publication: 2024).
DOI:	10.1055/a-2065-6021
Abstrakt:	Background  Skull base approaches are utilized to improve microsurgical treatment of cerebral aneurysms. Advantages include early proximal and distal control, increased visualization, and minimal brain retraction. Orbitozygomatic (OZ) craniotomies via pterional incision are commonly used for the treatment of anterior communicating artery (ACoA) aneurysms. A smaller, less invasive OZ craniotomy performed through an eyebrow incision may provide several advantages over a standard OZ approach. Objective  We compare surgical outcomes of the standard and eyebrow OZ for the treatment of ACoA aneurysms. Design  All patients who underwent microsurgical treatment for ACoA aneurysms by a single surgeon over an 8-year period were included in this retrospective analysis. Patient demographics and clinical data were collected. Participants  Thirty-seven consecutive patients were identified, with 15 receiving eyebrow OZ and 22 receiving standard OZ. Main Outcome Measures Data were collected on patient demographics, pathology, intraoperative and perioperative data, and 30-day morbidity. Results  A total of 100% of the eyebrow OZ group and 95.5% of the standard OZ group had complete aneurysmal occlusion. Four eyebrow OZ and six standard OZ patients had an intraoperative rupture. All were managed without complication. Two eyebrow OZ and one standard OZ patient died within 30 days of surgery. No patients in either group had aneurysm recurrence, required retreatment, or were limited intraoperatively by exposure. Conclusions  The OZ approach via an eyebrow incision has similar outcomes to a standard OZ approach and is a safe option for the treatment of ACoA aneurysms. Competing Interests: Conflict of Interest None declared. (Thieme. All rights reserved.)
Databáze:	MEDLINE
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