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翼点开颅的筋膜间入路:预防美容并发症的技术和调整。

Interfascial approach for pterional craniotomy: technique and adjustments to prevent cosmetic complications.

机构信息

Department of Neurosurgery, La Timone Hospital, APHM, Aix Marseille University, 264 Rue Saint Pierre, 13385, Marseille, France.

Department of Neurosurgery, CHU Angers, University of Angers, 28 Rue Roger Amsler, 49100, Angers, France.

出版信息

Acta Neurochir (Wien). 2019 Nov;161(11):2353-2357. doi: 10.1007/s00701-019-04058-1. Epub 2019 Sep 6.

Abstract

BACKGROUND

Interfascial dissection for pterional craniotomy is one of the main techniques to expose the pterional region.

METHOD

A step-by-step optimized method of interfascial dissection to avoid three main esthetic complications of the pterional approach-upper facial nerve palsy, temporal muscle atrophy, and retro-orbital depression. A video of the interfascial dissection and three artistic drawings are provided in support of this technique.

CONCLUSION

A safe method of interfascial dissection, respecting anatomy, and avoiding cosmetic complications has been proposed.

摘要

背景

翼点开颅术中的筋膜间解剖是暴露翼区的主要技术之一。

方法

采用筋膜间逐步优化的分离方法,避免翼点入路的三种主要美容并发症-面神经上支瘫痪、颞肌萎缩和眶后凹陷。本文提供了筋膜间解剖的视频和三个艺术绘图,以支持这项技术。

结论

本文提出了一种安全的筋膜间分离方法,尊重解剖结构,避免美容并发症。

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