Guillaume Baucher1, Florian Bernard2,3, Thomas Graillon4, Henry Dufour4. 1. Department of Neurosurgery, La Timone Hospital, APHM, Aix Marseille University, 264 Rue Saint Pierre, 13385, Marseille, France. guillaume_baucher@hotmail.fr. 2. Department of Neurosurgery, CHU Angers, University of Angers, 28 Rue Roger Amsler, 49100, Angers, France. 3. Laboratory of Anatomy, Faculté de Médecine d'Angers, 28 Rue Roger Amsler, 49100, Angers, France. 4. Department of Neurosurgery, La Timone Hospital, APHM, Aix Marseille University, 264 Rue Saint Pierre, 13385, Marseille, France.
Abstract
BACKGROUND: Interfascial dissection for pterional craniotomy is one of the main techniques to expose the pterional region. METHOD: A step-by-step optimized method of interfascial dissection to avoid three main esthetic complications of the pterional approach-upper facial nerve palsy, temporal muscle atrophy, and retro-orbital depression. A video of the interfascial dissection and three artistic drawings are provided in support of this technique. CONCLUSION: A safe method of interfascial dissection, respecting anatomy, and avoiding cosmetic complications has been proposed.
BACKGROUND: Interfascial dissection for pterional craniotomy is one of the main techniques to expose the pterional region. METHOD: A step-by-step optimized method of interfascial dissection to avoid three main esthetic complications of the pterional approach-upper facial nerve palsy, temporal muscle atrophy, and retro-orbital depression. A video of the interfascial dissection and three artistic drawings are provided in support of this technique. CONCLUSION: A safe method of interfascial dissection, respecting anatomy, and avoiding cosmetic complications has been proposed.