脳卒中の外科
Online ISSN : 1880-4683
Print ISSN : 0914-5508
ISSN-L : 0914-5508
手術手技
All-around極小開頭による未破裂脳動脈瘤クリッピング術の手術手技
森本 哲也南 茂徳長友 康榊 寿右
著者情報
ジャーナル フリー

2015 年 43 巻 2 号 p. 145-148

詳細
抄録
To minimize operative invasiveness, we propose ultra-small craniotomy for cerebral aneurysm surgery. The size is 4 × 3 cm, which is about twice the size of a 100-yen coin. The sphenoid ridge should be rongeured away to flatten the floor from the frontal base to the temporal pole. For the craniotomy, the sylvian vein is divided into the frontal and temporal lobes in a 2:1 ratio. In skin incision, care should be taken not to injure the facial nerve during division into the frontalis and orbitalis oculi muscles. From the cosmetic viewpoint, the 1- to 2-cm forehead incision used in this technique is not visible. Moreover, this technique can be performed by a beginner neurosurgeon, without any special tool for the procedure.
著者関連情報
© 2015 一般社団法人 日本脳卒中の外科学会
前の記事
feedback
Top