The extended pterional approach allows excellent results for removal of anterior cranial fossa meningiomas
Autor(a) principal: | |
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Data de Publicação: | 2016 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Arquivos de neuro-psiquiatria (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2016000500382 |
Resumo: | 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. |
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Arquivos de neuro-psiquiatria (Online) |
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The extended pterional approach allows excellent results for removal of anterior cranial fossa meningiomasmeningiomascranal fossaanteriormicrosurgeryABSTRACT 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.Academia Brasileira de Neurologia - ABNEURO2016-05-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2016000500382Arquivos de Neuro-Psiquiatria v.74 n.5 2016reponame:Arquivos de neuro-psiquiatria (Online)instname:Academia Brasileira de Neurologiainstacron:ABNEURO10.1590/0004-282X20160058info:eu-repo/semantics/openAccessLynch,Jose CarlosGonçalves,Mariangela BarbiPereira,Celestino EstevesMelo,WladimirTemponi,Gianni Ferrazeng2016-06-09T00:00:00Zoai:scielo:S0004-282X2016000500382Revistahttp://www.scielo.br/anphttps://old.scielo.br/oai/scielo-oai.php||revista.arquivos@abneuro.org1678-42270004-282Xopendoar:2016-06-09T00:00Arquivos de neuro-psiquiatria (Online) - Academia Brasileira de Neurologiafalse |
dc.title.none.fl_str_mv |
The extended pterional approach allows excellent results for removal of anterior cranial fossa meningiomas |
title |
The extended pterional approach allows excellent results for removal of anterior cranial fossa meningiomas |
spellingShingle |
The extended pterional approach allows excellent results for removal of anterior cranial fossa meningiomas Lynch,Jose Carlos meningiomas cranal fossa anterior microsurgery |
title_short |
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_sort |
The extended pterional approach allows excellent results for removal of anterior cranial fossa meningiomas |
author |
Lynch,Jose Carlos |
author_facet |
Lynch,Jose Carlos Gonçalves,Mariangela Barbi Pereira,Celestino Esteves Melo,Wladimir Temponi,Gianni Ferraz |
author_role |
author |
author2 |
Gonçalves,Mariangela Barbi Pereira,Celestino Esteves Melo,Wladimir Temponi,Gianni Ferraz |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Lynch,Jose Carlos Gonçalves,Mariangela Barbi Pereira,Celestino Esteves Melo,Wladimir Temponi,Gianni Ferraz |
dc.subject.por.fl_str_mv |
meningiomas cranal fossa anterior microsurgery |
topic |
meningiomas cranal fossa anterior microsurgery |
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. |
publishDate |
2016 |
dc.date.none.fl_str_mv |
2016-05-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2016000500382 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2016000500382 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/0004-282X20160058 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Academia Brasileira de Neurologia - ABNEURO |
publisher.none.fl_str_mv |
Academia Brasileira de Neurologia - ABNEURO |
dc.source.none.fl_str_mv |
Arquivos de Neuro-Psiquiatria v.74 n.5 2016 reponame:Arquivos de neuro-psiquiatria (Online) instname:Academia Brasileira de Neurologia instacron:ABNEURO |
instname_str |
Academia Brasileira de Neurologia |
instacron_str |
ABNEURO |
institution |
ABNEURO |
reponame_str |
Arquivos de neuro-psiquiatria (Online) |
collection |
Arquivos de neuro-psiquiatria (Online) |
repository.name.fl_str_mv |
Arquivos de neuro-psiquiatria (Online) - Academia Brasileira de Neurologia |
repository.mail.fl_str_mv |
||revista.arquivos@abneuro.org |
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1754212780211175424 |