Cranio-orbital approach for complex aneurysmal surgery.

Hdl Handle:
http://hdl.handle.net/10147/208867
Title:
Cranio-orbital approach for complex aneurysmal surgery.
Authors:
Kelleher, M O; Kamel, M H; O'Sullivan, M G J
Affiliation:
Department of Neurosurgery, Cork University Hospital, Cork, Eire.
Citation:
Br J Neurosurg. 2005 Oct;19(5):413-5.
Journal:
British journal of neurosurgery
Issue Date:
3-Feb-2012
URI:
http://hdl.handle.net/10147/208867
DOI:
10.1080/02688690500390110
PubMed ID:
16455563
Abstract:
Certain aneurysms of the anterior circulation continue to offer a technical challenge for safe exposure and clipping. The purpose of this paper was to describe the cranio-orbital approach for surgical clipping of complex aneurysms and to evaluate prospectively the associated complications of this approach. Prospective audit of all patients undergoing cranio-orbital approach for aneurysm surgery from 1997 to 2004 by the senior author. Twenty-five patients, eight male and 17 female, median age of 52 years, range 28-73. All patients had a standard pterional approach supplemented by an orbital osteotomy. In the 7-year period 367 patients underwent treatment for their aneurysms (169 clipped and 198 coiled). Of the 169 patients who were operated on, 29 had a skull base approach, of which 25 were cranio-orbital. The aneurysm location was as follows: 16 middle cerebral artery (MCA), three carotid bifurcation, four anterior communicating artery (ACOMM), one ophthalmic and one basilar. There were no approach-related complications. The cranio-orbital craniotomy can be a useful adjunct in the surgical treatment of giant or complex aneurysms. It offers the following advantages over a standard pterional approach: reduces operative distance; allows easy splitting of the sylvian fissure; and provides a wide arc of exposure with multiple working corridors.
Language:
eng
MeSH:
Adult; Aged; Female; Humans; Intracranial Aneurysm/pathology/*surgery; Male; Medical Audit; Middle Aged; Neurosurgical Procedures/methods; Orbit/surgery; Osteotomy/methods; Prospective Studies; Skull Base/surgery
ISSN:
0268-8697 (Print); 0268-8697 (Linking)

Full metadata record

DC FieldValue Language
dc.contributor.authorKelleher, M Oen_GB
dc.contributor.authorKamel, M Hen_GB
dc.contributor.authorO'Sullivan, M G Jen_GB
dc.date.accessioned2012-02-03T15:05:55Z-
dc.date.available2012-02-03T15:05:55Z-
dc.date.issued2012-02-03T15:05:55Z-
dc.identifier.citationBr J Neurosurg. 2005 Oct;19(5):413-5.en_GB
dc.identifier.issn0268-8697 (Print)en_GB
dc.identifier.issn0268-8697 (Linking)en_GB
dc.identifier.pmid16455563en_GB
dc.identifier.doi10.1080/02688690500390110en_GB
dc.identifier.urihttp://hdl.handle.net/10147/208867-
dc.description.abstractCertain aneurysms of the anterior circulation continue to offer a technical challenge for safe exposure and clipping. The purpose of this paper was to describe the cranio-orbital approach for surgical clipping of complex aneurysms and to evaluate prospectively the associated complications of this approach. Prospective audit of all patients undergoing cranio-orbital approach for aneurysm surgery from 1997 to 2004 by the senior author. Twenty-five patients, eight male and 17 female, median age of 52 years, range 28-73. All patients had a standard pterional approach supplemented by an orbital osteotomy. In the 7-year period 367 patients underwent treatment for their aneurysms (169 clipped and 198 coiled). Of the 169 patients who were operated on, 29 had a skull base approach, of which 25 were cranio-orbital. The aneurysm location was as follows: 16 middle cerebral artery (MCA), three carotid bifurcation, four anterior communicating artery (ACOMM), one ophthalmic and one basilar. There were no approach-related complications. The cranio-orbital craniotomy can be a useful adjunct in the surgical treatment of giant or complex aneurysms. It offers the following advantages over a standard pterional approach: reduces operative distance; allows easy splitting of the sylvian fissure; and provides a wide arc of exposure with multiple working corridors.en_GB
dc.language.isoengen_GB
dc.subject.meshAdulten_GB
dc.subject.meshAgeden_GB
dc.subject.meshFemaleen_GB
dc.subject.meshHumansen_GB
dc.subject.meshIntracranial Aneurysm/pathology/*surgeryen_GB
dc.subject.meshMaleen_GB
dc.subject.meshMedical Auditen_GB
dc.subject.meshMiddle Ageden_GB
dc.subject.meshNeurosurgical Procedures/methodsen_GB
dc.subject.meshOrbit/surgeryen_GB
dc.subject.meshOsteotomy/methodsen_GB
dc.subject.meshProspective Studiesen_GB
dc.subject.meshSkull Base/surgeryen_GB
dc.titleCranio-orbital approach for complex aneurysmal surgery.en_GB
dc.contributor.departmentDepartment of Neurosurgery, Cork University Hospital, Cork, Eire.en_GB
dc.identifier.journalBritish journal of neurosurgeryen_GB
dc.description.provinceMunster-

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