Abstract
Background
Combined bypass, including direct and indirect procedures, has been recognized as the maximal revascularization to prevent further hemorrhagic or ischemic stroke in adult moyamoya disease (MMD). It is also important to consider cosmetic aspects when planning combined bypass for MMD. However, there are few reports that have described the cosmetic considerations in bypass surgery for MMD.
Methods
We demonstrate our surgical techniques aimed at achieving extended revascularization as well as excellent cosmetic outcomes with figures and video.
Conclusion
Our combined bypass procedures which focus on achieving maximal cosmetic results are effective methods that require no special instruments or techniques.
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All authors contributed to the study conception and design. Material preparation, data collection, and analysis were performed by YE, YE, and KK. The first draft of the manuscript was written by YE, and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.
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Official approval from the institutional review board is waived for case presentation. All procedures employed in the present study are in accordance with the ethical standards of the Gifu University Hospital and with the 1964 Helsinki Declaration and its later amendments. The patient consented to the publication of his case in the present study.
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The authors declare no competing interests.
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Egashira, Y., Enomoto, Y., Kano, K. et al. How I do it: combined bypass for adult moyamoya disease with maximal consideration of cosmetic aspects. Acta Neurochir 165, 2073–2076 (2023). https://doi.org/10.1007/s00701-023-05604-8
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DOI: https://doi.org/10.1007/s00701-023-05604-8