Interfascial approach for pterional craniotomy: technique and adjustments to prevent cosmetic complications
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Interfascial dissection for pterional craniotomy is one of the main techniques to expose the pterional region.
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.
A safe method of interfascial dissection, respecting anatomy, and avoiding cosmetic complications has been proposed.
KeywordsPterional approach Cosmetic complications Interfascial dissection Temporal muscle dissection Facial nerve
Loose areolar tissue
Superior temporal line
Compliance with ethical standards
Conflict of interest
The authors declare that they have no conflict of interest.
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
Informed consent was obtained from all individual participants included in the study.
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