Kocaman Umit, Dalbasti Tayfun, Ozer Mehmet Haluk, Yilmaz Hakan, Yilmaz Muhammet Bahadir, Atci Ibrahim Burak, Celik Servet
a Department of Neurosurgery , Izmir Cigli Education and Research Hospital , Izmir , Turkey.
b Department of Neurosurgery , Ege University Faculty of Medicine , Izmir , Turkey.
Br J Neurosurg. 2018 Aug;32(4):418-423. doi: 10.1080/02688697.2017.1409877. Epub 2017 Dec 6.
Lateral supraorbital approach is a simpler and quicker method than pterional approach. It provides a more anterior projection when compared to the pterional approach. There are some minor differences of the modified lateral supraorbital approach when compared to lateral supraorbital approach. It is directed more subfrontally and anterior than the pterional and lateral supraorbital approach.
We used modified lateral supraorbital approach in 100 cases between 2012 and 2015 in Medical Park İzmir Hospital/Turkey. The assessed data were as follows: age, gender, Glasgow coma scale at admission, the localization of pathology, the condition of surgical obliteration for aneurysm, excision grade for meningioma, length of stay in the hospital and Glasgow outcoma scale at discharge.
Of all patients, 58 (58%) were men and 42 (42%) were women. Our cases were anterior communicating artery aneurysms (41 cases), tuberculum sella and medial sphenoid wing meningiomas (22 cases), middle cerebral artery aneurysms (15 cases), olfactory groove meningiomas (15 cases), anterior choroidal artery aneurysms (4 cases) and posterior communicating artery aneurysms (3 cases). 4 patients died and the mortality rate of the study cohort was 4%.
The MLSA is faster, simpler and less invasive than the PA and LSA.
眶上外侧入路是一种比翼点入路更简单、更快捷的方法。与翼点入路相比，它提供了更靠前的视野。改良眶上外侧入路与眶上外侧入路相比存在一些细微差异。它比翼点入路和眶上外侧入路更向前下额叶方向。
2012年至2015年期间，我们在土耳其伊兹密尔医疗园医院对100例患者采用了改良眶上外侧入路。评估的数据如下：年龄、性别、入院时的格拉斯哥昏迷量表评分、病变部位、动脉瘤手术闭塞情况、脑膜瘤切除分级、住院时间和出院时的格拉斯哥预后量表评分。
所有患者中，男性58例（58%），女性42例（42%）。我们的病例包括前交通动脉瘤（41例）、鞍结节和蝶骨嵴内侧脑膜瘤（22例）、大脑中动脉瘤（15例）、嗅沟脑膜瘤（15例）、脉络膜前动脉瘤（4例）和后交通动脉瘤（3例）。4例患者死亡，研究队列的死亡率为4%。
改良眶上外侧入路比翼点入路和眶上外侧入路更快、更简单且侵入性更小。
