The frontotemporal approach, popularized by Yasargil for the treatment of intracranial aneurysms , is still one of the most versatile and widely used approaches in contemporary neurosurgery. It has also been employed for a large number of other applications, such as lesions of the sellar region, the cavernous sinus, and the anterior and middle cranial fossa, and as a basic module for more complex approaches to the skull base. The widely recognized advantage of the frontotemporal craniotomy is the enhanced exposure of deep neurovascular structures, which offer a shorter and wider view of the surgical target. The immediate release of cerebrospinal fluid from the basal cisterns and the early visualization of the neurovascular structures result in a significant reduction in brain retraction and preservation of the normal vascular anatomy. Furthermore, it allows the early identification of the ipsilateral internal carotid artery, thus providing an early proximal vascular control.
KeywordsFacial Nerve Posterior Cerebral Artery Superficial Temporal Artery Oculomotor Nerve Sylvian Fissure
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