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Acta Neurochirurgica

, Volume 160, Issue 6, pp 1155–1158 | Cite as

Supraorbital approach through eyebrow skin incision for aneurysm clipping: how I do it

  • Alessio Chiappini
  • Francesco Marchi
  • Michael Reinert
  • Thomas Robert
How I Do it - Vascular Neurosurgery - Aneurysm
  • 195 Downloads

Abstract

Background

Surgery has been in a huge development where the aim is to achieve same or better results with less complication in a less invasive way; these minimal approaches can be applied in a very safe way to aneurysmal neurosurgery.

Method

Images are studied to optimize the patient positioning and the surgical roadmap. After the positioning, the skin incision, craniotomy, and dura incision are performed and intradural lesion is reached. A watertight closure is performed under the microscope.

Conclusion

The keyhole approach requires some adaption from the side of the surgeon and can be performed only in cases envisioned to have no increased risk for the patient.

Keywords

Keyhole approaches Mini-invasive technique Supra-orbital approach Eyebrow skin incision Aneursysm clipping 

Supplementary material

ESM 1

Video of the clipping of a MCA bifurcation aneurysm by supraorbital approach through eyebrow skin incision. Note: The patients gave us the consent to publish the video in an anonymous way. (MP4 425,378 kb)

References

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Copyright information

© Springer-Verlag GmbH Austria, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Neurosurgery, Neurocenter of the Southern SwitzerlandRegional Hospital of LuganoLuganoSwitzerland

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