Korean J Cerebrovasc Dis.
2000 Mar;2(1):43-47.
Trans-supraorbital Approach to Anterior Circulation Aneurysms
- Affiliations
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- 1Department of Neurosurgery, Chonnam National University Hospital, Kwangju, Korea. taesun@cuh.chonnam.ac.kr
Abstract
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BACKGROUND: The ultimate goal of minimally invasive surgery to the cerebral lesions is the smallest possible approach with an optimal surgical results. We present our experience in the surgery for anterior circulation aneurysms by using trans-supraorbital approach.
METHODS
Between December 1998 and September 1999 seventeen patients with nineteen anterior circulation aneurysms were operated on via trans-supraorbital approach. Through a 4 to 5 centimeters long eyebrow or wrinkle incision trans-supraorbital approach was performed making a 3x2 cm bone flap including the orbital roof and rim. Advantages, indication of the this approach are discussed and surgical results are presented.
RESULTS
All aneurysm were clipped without remmant. Outcome evaluated by the Glasgow outcome scale at 3 months after surgery was as follows; good recovery in 14 patients, moderate disability in 2 patients, severe disability in 1 patients. There was no procedure-related complications in our series.
CONCLUSION
The trans-supraorbital approach to anterior circulation aneurysms may be the alternative minimally invasive approach in selected aneurysmal subarachnoid hemorrhage patients.
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