Mini-temporal approach as an alternative to the classical pterional approach for resective temporal region surgeries  

作　　者：Nijiati Kudulaiti Feili Liu N.U.Farrukh Hameed Peng Wang Jie Zhang Rui Feng Jinsong Wu 无 

机构地区：[1]Department of Neurosurgery,Huashan Hospital,Shanghai Medical College,Fudan University,Shanghai,China [2]Department of Radiation Oncology,University Medical Center Jena,Hospital,Friedrich-Schiller-University Jena,BachstraBe 18,07743 Jena,Germany [3]Clinician Scientist Program“OrganAge”,Jena University Hospital,07747 Jena,Germany [4]Department of Neurology,Jena University Hospital,Jena,Germany [5]Else Kröer Research School for Physicians“AntiAge”,Jena University Hospital,07747 Jena,Germany [6]Department of Neurosurgery,Centre of Neuro‑Oncology,Jena University Hospital,Friedrich-Schiller-University Jena,Am Klinikum 1,07747 Jena,Germany [7]Centre of Neuro‑Oncology,Department of Neurosurgery,Medical Faculty,Heinrich-Heine-University Düsseldorf,MoorenstraBe 5,40225 Düsseldorf,Germany

出　　处：《Chinese Neurosurgical Journal》2023年第1期58-64,共7页中华神经外科杂志（英文）

基　　金：Matthias Mäurer and Marcel Kamp were funded by the Stifterverband in cooperation with the Thuringian Ministry of Economics,Science and Digital Society within the framework of the"Fellowship for Innovations in Digital University Teaching"(GZ:5508/78-15-25);Matthias Mäurer was funded by the Deutsche Forschungsgemsinschaft(DFG,German Research Foundation)Clinician Scientist Program OrganAge(funding number 413668513);by the Interdisciplinary Center of Clinical Research of the Medical Faculty Jena.Irina Mäurer was supported by funding from the Foundation"Else-Kröner-Fresenius-Stiftung"within the Else Kröner Research School for Physicians"AntiAge".

摘　　要：Background:Classical pterional appoach for temporal surgeries may cause atrophy and dysfunction of temporalis,injury to the facial nerve,and unnecessary cortical exposure.As an alternative to the classical pterional approach for such surgeries,we hereby describe an mini-temporal approach which reduces these risks and proven to be practical in neurological surgeries.Material and methods:In the mini-temporal incision design,the frontal end of the incision never surpassed the hairline at the level of temporal line,and a one-layer skin-galea-muscle flap was detached from the cranium,effectively avoiding the injuries of facial nerve.The surgical bone window was completely located underneath the temporalis muscle,allowing it to be completely repositioned postoperatively.Results:We demonstrated the application of mini-temporal approach in a variety of temporal region tumors,which can be applied to complete successful resective surgeries while effectively reducing injuries to extra-temporal cortex,temporalis,and facial nerve.There were no postoperative complications related to extra-temporal cortical damage,atrophy of temporalis,or injury to the facial nerve.Conclusion:The mini-temporal approach can effectively shorten the time of craniotomy and closure,decrease the size of bony removal,increase the restoration of temporalis during closure,and lower the chance of facial nerve injury.Therefore,it improves cosmetic outcomes and reduces the risk of unintentional extra-temporal cortical injury,which fully embodies the minimally invasive principle in neurosurgery.

关 键 词：Mini-temporal approach Pterional craniotomy Facial nerve Minimally invasive surgery Neurosurgical technique 

分 类 号：R651.11[医药卫生—外科学]