Umit Kocaman1, Tayfun Dalbasti2, Mehmet Haluk Ozer3, Hakan Yilmaz4, Muhammet Bahadir Yilmaz3, Ibrahim Burak Atci5, Servet Celik6. 1. a Department of Neurosurgery , Izmir Cigli Education and Research Hospital , Izmir , Turkey. 2. b Department of Neurosurgery , Ege University Faculty of Medicine , Izmir , Turkey. 3. c Department of Neurosurgery , University of Izmir of Medicine , Izmir , Turkey. 4. d Department of Neurosurgery , Usak University Education and Research Hospital , Usak , Turkey. 5. e Department of Neurosurgery , Istanbul Education and Research Hospital , Istanbul , Turkey. 6. f Department of Anatomy , Ege University Faculty of Medicine , Izmir , Turkey.
Abstract
PURPOSE: Lateral supraorbital approach is a simpler and quicker method than pterional approach. It provides a more anterior projection when compared to the pterional approach. There are some minor differences of the modified lateral supraorbital approach when compared to lateral supraorbital approach. It is directed more subfrontally and anterior than the pterional and lateral supraorbital approach. MATERIAL AND METHODS: We used modified lateral supraorbital approach in 100 cases between 2012 and 2015 in Medical Park İzmir Hospital/Turkey. The assessed data were as follows: age, gender, Glasgow coma scale at admission, the localization of pathology, the condition of surgical obliteration for aneurysm, excision grade for meningioma, length of stay in the hospital and Glasgow outcoma scale at discharge. RESULTS: Of all patients, 58 (58%) were men and 42 (42%) were women. Our cases were anterior communicating artery aneurysms (41 cases), tuberculum sella and medial sphenoid wing meningiomas (22 cases), middle cerebral artery aneurysms (15 cases), olfactory groove meningiomas (15 cases), anterior choroidal artery aneurysms (4 cases) and posterior communicating artery aneurysms (3 cases). 4 patients died and the mortality rate of the study cohort was 4%. CONCLUSIONS: The MLSA is faster, simpler and less invasive than the PA and LSA.
PURPOSE: Lateral supraorbital approach is a simpler and quicker method than pterional approach. It provides a more anterior projection when compared to the pterional approach. There are some minor differences of the modified lateral supraorbital approach when compared to lateral supraorbital approach. It is directed more subfrontally and anterior than the pterional and lateral supraorbital approach. MATERIAL AND METHODS: We used modified lateral supraorbital approach in 100 cases between 2012 and 2015 in Medical Park İzmir Hospital/Turkey. The assessed data were as follows: age, gender, Glasgow coma scale at admission, the localization of pathology, the condition of surgical obliteration for aneurysm, excision grade for meningioma, length of stay in the hospital and Glasgow outcoma scale at discharge. RESULTS: Of all patients, 58 (58%) were men and 42 (42%) were women. Our cases were anterior communicating artery aneurysms (41 cases), tuberculum sella and medial sphenoid wing meningiomas (22 cases), middle cerebral artery aneurysms (15 cases), olfactory groove meningiomas (15 cases), anterior choroidal artery aneurysms (4 cases) and posterior communicating artery aneurysms (3 cases). 4 patients died and the mortality rate of the study cohort was 4%. CONCLUSIONS: The MLSA is faster, simpler and less invasive than the PA and LSA.