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Tentorial Peeling: Surgical Extradural Navigation to Protect the Temporal Lobe in the Focused Combined Transpetrosal Approach.
Vidal, Claudio H F; Nicácio, Joab A; Hahn, Yoav; Caldas Neto, Silvio S; Coimbra, Caetano J.
Afiliação
  • Vidal CHF; Department of Neurosurgery, Getúlio Vargas Hospital, Recife, Brazil.
  • Nicácio JA; Department of Neurosurgery, Getúlio Vargas Hospital, Recife, Brazil.
  • Hahn Y; Skull Base Surgery Center, Baylor University Medical Center, Dallas, Texas.
  • Caldas Neto SS; Minimally Invasive Brain Surgery Center, Medical City Hospital, Dallas, Texas.
  • Coimbra CJ; Department of Otolaryngology, Health Science Center, Universidade Federal de Pernambuco, Recife, Brazil.
Oper Neurosurg (Hagerstown) ; 19(5): 589-598, 2020 Oct 15.
Article em En | MEDLINE | ID: mdl-32542323
BACKGROUND: Transpetrosal approaches have been used for treatment of tumors in the petroclival region for many years. Injury to the temporal lobe, however, has been a potential drawback of the techniques described to date. OBJECTIVE: To describe modifications of the transpetrosal surgical technique, which allows extradural manipulation of the temporal lobe during the focused combined transpetrosal approach. This extra layer of protection avoids mechanical brain retraction, direct trauma to the temporal lobe and disruption of the local venous structures. METHODS: The present manuscript describes an innovative technical nuance based on the combination of the focused combined transpetrosal approach, the peeling of the dural layers of the tentorium, and the reverse peeling of the middle fossa dura mater. Ample illustrative material is provided and illustrative cases are presented. CONCLUSION: Peeling of the dural layers of the tentorium is a promising modification of the transpetrosal approach to increase the safety of the temporal lobe manipulation.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Procedimentos Neurocirúrgicos / Cirurgia Assistida por Computador Limite: Humans Idioma: En Revista: Oper Neurosurg (Hagerstown) Ano de publicação: 2020 Tipo de documento: Article País de afiliação: Brasil País de publicação: Estados Unidos
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Procedimentos Neurocirúrgicos / Cirurgia Assistida por Computador Limite: Humans Idioma: En Revista: Oper Neurosurg (Hagerstown) Ano de publicação: 2020 Tipo de documento: Article País de afiliação: Brasil País de publicação: Estados Unidos