Lateral Supraorbital Versus Pterional Approach: Analysis of Surgical, Functional, and Patient-Oriented Outcomes

World Neurosurgery
Giuseppe La RoccaAlessio Albanese

Abstract

Recently, the lateral supraorbital (LSO) keyhole variant of the standard pterional (PT) approach has been popularized for anterior skull base surgery, because it provides good anatomic exposition, reduced complications, and better aesthetic and functional results. However, these aspects have been formally compared only by a limited number of studies. We reviewed our experience with 50 consecutive anterior communicating artery (AComA) and A1/A2 aneurysms. Of these 50 patients, 25 had undergone the standard PT approach and 25, the LSO variant. We report the results in terms of exclusion of the aneurysm, postoperative complications, functional/masticatory outcomes, and aesthetic and patient satisfaction. From January 2014 to December 2015, 25 patients with unruptured AComA and A1/A2 aneurysms underwent the standard PT craniotomy. From January 2016 to March 2017, another 25 patients underwent the LSO technique. No statistically significant differences were observed in the aneurysmal exclusion rate at angiographic follow-up or major complications. A statistically significant difference in the clinical outcome (Glasgow Outcome Scale) was evident only for the immediate postoperative time and was not significant during the follow-up pe...Continue Reading

Citations

Jul 25, 2019·Journal of Neurosurgical Sciences·Enrico MarcheseGiovanni Sabatino
Jun 6, 2020·Journal of Neurological Surgery. Part A, Central European Neurosurgery·Carmelo Lucio SturialeAlessio Albanese
Mar 1, 2021·Journal of Neurological Surgery. Part A, Central European Neurosurgery·Carmelo Lucio SturialeAlessio Albanese

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