The extended pterional approach allows excellent results for removal of anterior cranial fossa meningiomas

Abstract: Objective To describe a unique operative strategy, instead the classical pterional approach, and to analyses it safety and effectiveness for removal of anterior cranial fossa meningiomas. Method We identify 38 patients with tuberculum sellae and olphactory groove meningiomas operated between 1986 and 2013. Medical charts, operative reports, imaging studies and clinical follow-up evaluations were reviewed and analyzed retrospectively. The pterional craniotomy is extended toward the frontal bone providing access through the subfrontal route, besides the usual anterolateral view provided by the classical pterional approach. Results Surgical mortality occurred in one patient (2.6%). Gross total resection was achieved in 27 patients (86.8%). Median time of follow-up was 69.4 months. Conclusion The extended pterional approach allows excellent results. Total removal of meningiomas of the anterior cranial fossa was obtained in 86.8 % of patients, with low morbidity and mortality.

Weitere Titel
O acesso pterional extendido permite excelente resultado para a ressecção dos meningiomas da fossa craniana anterior
Standort
Deutsche Nationalbibliothek Frankfurt am Main
Umfang
Online-Ressource
Sprache
Englisch

Erschienen in
The extended pterional approach allows excellent results for removal of anterior cranial fossa meningiomas ; volume:74 ; number:05 ; year:2016 ; pages:382-387
Arquivos de neuro-psiquiatria ; 74, Heft 05 (2016), 382-387

Beteiligte Personen und Organisationen
Lynch, Jose Carlos
Gonçalves, Mariangela Barbi
Pereira, Celestino Esteves
Melo, Wladimir
Temponi, Gianni Ferraz

DOI
10.1590/0004-282X20160058
URN
urn:nbn:de:101:1-2023101912263754672737
Rechteinformation
Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
Letzte Aktualisierung
14.08.2025, 11:02 MESZ

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Beteiligte

  • Lynch, Jose Carlos
  • Gonçalves, Mariangela Barbi
  • Pereira, Celestino Esteves
  • Melo, Wladimir
  • Temponi, Gianni Ferraz

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