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 be...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Thieme Revinter Publicações
2016-05-01
|
| Series: | Arquivos de Neuro-Psiquiatria |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2016000500382&lng=en&tlng=en |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849308464298328064 |
|---|---|
| author | Jose Carlos Lynch Mariangela Barbi Gonçalves Celestino Esteves Pereira Wladimir Melo Gianni Ferraz Temponi |
| author_facet | Jose Carlos Lynch Mariangela Barbi Gonçalves Celestino Esteves Pereira Wladimir Melo Gianni Ferraz Temponi |
| author_sort | Jose Carlos Lynch |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-0b5805f2c1f14c6fb50e8fd516c071cf |
| institution | Kabale University |
| issn | 1678-4227 |
| language | English |
| publishDate | 2016-05-01 |
| publisher | Thieme Revinter Publicações |
| record_format | Article |
| series | Arquivos de Neuro-Psiquiatria |
| spelling | doaj-art-0b5805f2c1f14c6fb50e8fd516c071cf2025-08-20T03:54:28ZengThieme Revinter PublicaçõesArquivos de Neuro-Psiquiatria1678-42272016-05-0174538238710.1590/0004-282X20160058S0004-282X2016000500382The extended pterional approach allows excellent results for removal of anterior cranial fossa meningiomasJose Carlos LynchMariangela Barbi GonçalvesCelestino Esteves PereiraWladimir MeloGianni Ferraz TemponiABSTRACT 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.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2016000500382&lng=en&tlng=enmeningiomasfossa cranial anteriormicrocirurgia |
| spellingShingle | Jose Carlos Lynch Mariangela Barbi Gonçalves Celestino Esteves Pereira Wladimir Melo Gianni Ferraz Temponi The extended pterional approach allows excellent results for removal of anterior cranial fossa meningiomas Arquivos de Neuro-Psiquiatria meningiomas fossa cranial anterior microcirurgia |
| title | The extended pterional approach allows excellent results for removal of anterior cranial fossa meningiomas |
| title_full | The extended pterional approach allows excellent results for removal of anterior cranial fossa meningiomas |
| title_fullStr | The extended pterional approach allows excellent results for removal of anterior cranial fossa meningiomas |
| title_full_unstemmed | The extended pterional approach allows excellent results for removal of anterior cranial fossa meningiomas |
| title_short | The extended pterional approach allows excellent results for removal of anterior cranial fossa meningiomas |
| title_sort | extended pterional approach allows excellent results for removal of anterior cranial fossa meningiomas |
| topic | meningiomas fossa cranial anterior microcirurgia |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2016000500382&lng=en&tlng=en |
| work_keys_str_mv | AT josecarloslynch theextendedpterionalapproachallowsexcellentresultsforremovalofanteriorcranialfossameningiomas AT mariangelabarbigoncalves theextendedpterionalapproachallowsexcellentresultsforremovalofanteriorcranialfossameningiomas AT celestinoestevespereira theextendedpterionalapproachallowsexcellentresultsforremovalofanteriorcranialfossameningiomas AT wladimirmelo theextendedpterionalapproachallowsexcellentresultsforremovalofanteriorcranialfossameningiomas AT gianniferraztemponi theextendedpterionalapproachallowsexcellentresultsforremovalofanteriorcranialfossameningiomas AT josecarloslynch extendedpterionalapproachallowsexcellentresultsforremovalofanteriorcranialfossameningiomas AT mariangelabarbigoncalves extendedpterionalapproachallowsexcellentresultsforremovalofanteriorcranialfossameningiomas AT celestinoestevespereira extendedpterionalapproachallowsexcellentresultsforremovalofanteriorcranialfossameningiomas AT wladimirmelo extendedpterionalapproachallowsexcellentresultsforremovalofanteriorcranialfossameningiomas AT gianniferraztemponi extendedpterionalapproachallowsexcellentresultsforremovalofanteriorcranialfossameningiomas |