我的手术方法——用于夹闭大脑中动脉动脉瘤的改良外侧裂入路
How I do it - focused Sylvian approach for clipping of middle cerebral artery aneurysms.
作者信息
Neyazi Milad, Khajuria Rajiv Kumar, Muhammad Sajjad
机构信息
Department of Neurosurgery, Medical Faculty and University Hospital Düsseldorf, Heinrich Heine University Düsseldorf, Moorenstr. 5, 40225, Düsseldorf, Germany.
出版信息
Acta Neurochir (Wien). 2025 Jan 10;167(1):9. doi: 10.1007/s00701-025-06423-9.
BACKGROUND
The Focused Sylvian Approach (FSA) is a refined, minimally invasive technique for clipping small to medium-sized middle cerebral artery (MCA) aneurysms, prioritizing safety and aesthetics.
METHOD
The craniotomy remains confined to the superior temporal line, with the incision concealed within the temporal muscle. The Sylvian fissure is carefully dissected to preserve venous structures.
CONCLUSION
FSA achieves optimal vascular control with superior cosmetic outcomes while maintaining adequate exposure for safe aneurysm clipping.
背景
大脑外侧裂入路（FSA）是一种用于夹闭中小型大脑中动脉（MCA）动脉瘤的改良微创技术，优先考虑安全性和美观性。
方法
开颅手术仍局限于颞上线，切口隐藏在颞肌内。仔细解剖大脑外侧裂以保留静脉结构。
结论
FSA在保持安全夹闭动脉瘤所需的充分暴露的同时，实现了最佳的血管控制，并具有更好的美容效果。
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