Supraorbital approach through eyebrow skin incision for aneurysm clipping: how I do it
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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.
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.
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.
KeywordsKeyhole approaches Mini-invasive technique Supra-orbital approach Eyebrow skin incision Aneursysm clipping
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)
- 2.Hickmann AK, Gaida BJ, Reisch R (2017) How I do it: the expanded trans/supraorbital approach for large space-occupying lesions of the anterior fossa. Acta Neurochir (Wien) 159(5):881–887. https://doi.org/10.1007/s00701-017-3082-7