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Supraorbital approach through eyebrow skin incision for aneurysm clipping: how I do it

  • How I Do it - Vascular Neurosurgery - Aneurysm
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Abstract

Background

Surgery has been in a huge development where the aim is to achieve same or better results with less complication in a less invasive way; these minimal approaches can be applied in a very safe way to aneurysmal neurosurgery.

Method

Images are studied to optimize the patient positioning and the surgical roadmap. After the positioning, the skin incision, craniotomy, and dura incision are performed and intradural lesion is reached. A watertight closure is performed under the microscope.

Conclusion

The keyhole approach requires some adaption from the side of the surgeon and can be performed only in cases envisioned to have no increased risk for the patient.

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Author information

Authors and Affiliations

  1. Department of Neurosurgery, Neurocenter of the Southern Switzerland, Regional Hospital of Lugano, Via Tesserete 46, 6903, Lugano, Switzerland

    Alessio Chiappini, Francesco Marchi, Michael Reinert & Thomas Robert

Authors
  1. Alessio Chiappini
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  2. Francesco Marchi
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  3. Michael Reinert
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  4. Thomas Robert
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Corresponding author

Correspondence to Alessio Chiappini.

Electronic supplementary material

Video of the clipping of a MCA bifurcation aneurysm by supraorbital approach through eyebrow skin incision. Note: The patients gave us the consent to publish the video in an anonymous way. (MP4 425,378 kb)

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Chiappini, A., Marchi, F., Reinert, M. et al. Supraorbital approach through eyebrow skin incision for aneurysm clipping: how I do it. Acta Neurochir 160, 1155–1158 (2018). https://doi.org/10.1007/s00701-018-3528-6

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  • DOI: https://doi.org/10.1007/s00701-018-3528-6

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