Park Jaechan
Department of Neurosurgery and Biomedical Research Institute, School of Medicine, Kyungpook National University, Daegu, Korea.
J Korean Neurosurg Soc. 2020 Jan;63(1):4-13. doi: 10.3340/jkns.2019.0042. Epub 2019 Jul 15.
For surgical minimalism to reduce iatrogenic traumatization, a supraorbital keyhole approach has already been successfully applied to treat many unruptured anterior circulation aneurysms. However, using this minimal approach also raises several technical concerns due to the small cranial opening and cosmetic impact of a facial incision. Yet, such technical limitations can be overcome by using favorable surgical indications, slender surgical instruments, and optimized surgical techniques, while excellent cosmetic outcomes can be achieved using a short skin incision located <1 cm from the supraorbital margin, reconstruction of any bone defects around the bone flap, and meticulous wound closure. Thus, given such reassuring surgical results, in terms of the clipping status, neurological effects, and cosmetic outcomes, any concerns can be transitioned into confidence.
为了通过手术微创来减少医源性创伤，眶上锁孔入路已成功应用于治疗许多未破裂的前循环动脉瘤。然而，由于颅骨开口小以及面部切口对美观的影响，采用这种微创方法也引发了一些技术问题。不过，通过采用合适的手术适应症、纤细的手术器械和优化的手术技术，可以克服这些技术限制，同时通过在距眶上缘<1 cm处做一个短皮肤切口、修复骨瓣周围的任何骨缺损以及精心缝合伤口，可以获得出色的美容效果。因此，鉴于如此令人放心的手术结果，就夹闭情况、神经功能影响和美容效果而言，任何担忧都可以转化为信心。
