Poletti C E
Neurosurgical Service, Massachusetts General Hospital, Harvard Medical School, Boston.
J Neurosurg. 1989 Jul;71(1):144-6. doi: 10.3171/jns.1989.71.1.0144.
As an alternative to approaching anterior communicating artery (ACoA) aneurysms through the frontal fossa, either parasagittally or laterally (pterional, gyrus rectus approach), this report describes an approach to ACoA aneurysms through the temporal fossa. The main advantages of this temporal technique are that it requires less brain retraction, gives better surgical orientation, gains control of both A1 segments before disturbing the aneurysm, and involves minimal resection of brain tissue. This temporal approach has recently been used by the author in 20 consecutive operations for ACoA aneurysms in preference to the gyrus rectus approach.
作为经额下窝经矢状旁或外侧（翼点、直回入路）处理前交通动脉（ACoA）动脉瘤的替代方法，本报告描述了一种经颞下窝处理ACoA动脉瘤的入路。这种颞下入路的主要优点是所需脑牵拉较少，手术定位更好，在扰动动脉瘤之前可控制双侧A1段，且脑组织切除最少。作者最近在连续20例ACoA动脉瘤手术中优先采用这种颞下入路而非直回入路。
