Jallo George I, Suk Ian, Bognár László
Department of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, Maryland 21287, USA.
J Neurosurg. 2005 Jul;103(1 Suppl):88-93. doi: 10.3171/ped.2005.103.1.0088.
Many subfrontal and orbitofrontal craniotomy techniques have been proposed and developed for anterior cranial fossa lesions. The purpose of this study was to evaluate the surgical experience with the frontolateral keyhole craniotomy through a superciliary skin incision in children. The keyhole craniotomy is a modification of the traditional pterional approach. This modified approach, a craniotomy with a 2.5 x 3-cm bone opening just above the eyebrow through a superciliary incision, has been previously described in adults for many lesions situated in the anterior cranial fossa, including tumors and aneurysms. The authors review their experience in using this approach in 27 children for a variety of intracranial lesions. This approach was used for 28 procedures in children ranging in age from 1 to 16 years (mean age 10 years). The lesions included arachnoid cysts, cerebrospinal fluid fistulas, and tumors; no vascular lesions were treated. The authors have found this craniotomy to be a safe and simple approach for treating anterior cranial fossa and suprasellar lesions in children.
针对前颅窝病变，人们已经提出并发展了多种额下和眶额开颅技术。本研究的目的是评估经眉上皮肤切口行额外侧锁孔开颅术在儿童中的手术经验。锁孔开颅术是对传统翼点入路的一种改良。这种改良入路是通过眉上切口在眉上方做一个2.5×3厘米的骨窗开颅术，此前已在成人中用于治疗许多位于前颅窝的病变，包括肿瘤和动脉瘤。作者回顾了他们在27例儿童中使用这种方法治疗各种颅内病变的经验。该方法用于28例年龄在1至16岁（平均年龄10岁）的儿童手术。病变包括蛛网膜囊肿、脑脊液瘘和肿瘤；未治疗血管性病变。作者发现这种开颅术是治疗儿童前颅窝和鞍上病变的一种安全、简单的方法。
