Umraniye Training and Research Hospital, Department of Neurosurgery, Istanbul, Turkey.
Turk Neurosurg. 2023;33(6):1106-1112. doi: 10.5137/1019-5149.JTN.43674-23.1.
To evaluate the effect of osteoplastic pterional craniotomy on temporal hollowing and its sequelae.
A total of 97 patients who underwent pterional craniotomy for an aneurysm were analyzed retrospectively. Of these 97 patients, 63 underwent surgery via the conventional pterional approach and 34 underwent surgery via the osteoplastic pterional approach. The temporal muscle volume was calculated bilaterally on CT images obtained in the sixth postoperative month. The results obtained in the conventional and osteoplastic approaches were compared.
Of the 97 included patients, 45 were female and 52 were male. The mean patient age was 50.37 years. In the conventional group, 31 were female and 32 were male. In the osteoplastic group, 14 were female and 20 were male. The temporal muscle volume difference between the operated and non-operated side was not statistically significant in the osteoplastic group. However, the volume was slightly lesser on the operated side than on the non-operated side in the conventional group.
The osteoplastic pterional approach is superior to the conventional approach in preserving the muscle volume and function. Patients who underwent osteoplastic craniotomy demonstrated higher levels of satisfaction with their facial appearance compared to those who underwent craniotomy using the conventional pterional approach.
评估成形翼点开颅术对颞部凹陷及其后遗症的影响。
回顾性分析 97 例行翼点开颅术治疗动脉瘤的患者。其中 63 例行传统翼点入路手术，34 例行骨成形翼点入路手术。术后 6 个月在 CT 图像上计算双侧颞肌体积。比较传统入路和骨成形入路的结果。
97 例患者中，女性 45 例，男性 52 例，平均年龄 50.37 岁。在传统组中，女性 31 例，男性 32 例。在骨成形组中，女性 14 例，男性 20 例。骨成形组手术侧与非手术侧颞肌体积差异无统计学意义，但传统组手术侧颞肌体积略小于非手术侧。
骨成形翼点入路在保持肌肉体积和功能方面优于传统入路。与采用传统翼点入路开颅术的患者相比，行骨成形开颅术的患者对面部外观的满意度更高。
