Microsurgical anatomy of the anterior approach to the mesial temporal region
Anterior approaches to the mesial temporal lobe are favored by its anatomy limited medially by the cerebral peduncle and laterally by the lateral temporal lobe. We have routinely used an anterior subfrontal approach to operate on mesial temporal lesions. In this paper, we describe its microsurgical...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Thieme Revinter Publicações Ltda.
2012-06-01
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| Series: | Brazilian Neurosurgery |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1625664 |
| _version_ | 1818612387465396224 |
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| author | Eberval Gadelha Figueiredo Manoel Jacobsen Teixeira |
| author_facet | Eberval Gadelha Figueiredo Manoel Jacobsen Teixeira |
| author_sort | Eberval Gadelha Figueiredo |
| collection | DOAJ |
| description | Anterior approaches to the mesial temporal lobe are favored by its anatomy limited medially by the cerebral peduncle and laterally by the lateral temporal lobe. We have routinely used an anterior subfrontal approach to operate on mesial temporal lesions. In this paper, we describe its microsurgical anatomy and detail its clinical application. Surgical positioning, removal of the orbital rim, and drilling the sphenoid ridge are the main principles of this technique. Adequate positioning is crucial to displace the temporal lobe from the middle fossa to improve exposure. Removing the orbital rim ensures an ample range of movement for the surgical microscope, augments visualization, and improves surgical versatility. Finally, drilling the sphenoid ridge amplifies exposure near the area of interest, permitting increased visualization and manipulation. |
| first_indexed | 2024-12-16T15:45:25Z |
| format | Article |
| id | doaj.art-f362100ffb77491691ed78ec2410d94a |
| institution | Directory Open Access Journal |
| issn | 0103-5355 2359-5922 |
| language | English |
| last_indexed | 2024-12-16T15:45:25Z |
| publishDate | 2012-06-01 |
| publisher | Thieme Revinter Publicações Ltda. |
| record_format | Article |
| series | Brazilian Neurosurgery |
| spelling | doaj.art-f362100ffb77491691ed78ec2410d94a2022-12-21T22:25:50ZengThieme Revinter Publicações Ltda.Brazilian Neurosurgery0103-53552359-59222012-06-013102818510.1055/s-0038-1625664Microsurgical anatomy of the anterior approach to the mesial temporal regionEberval Gadelha FigueiredoManoel Jacobsen TeixeiraAnterior approaches to the mesial temporal lobe are favored by its anatomy limited medially by the cerebral peduncle and laterally by the lateral temporal lobe. We have routinely used an anterior subfrontal approach to operate on mesial temporal lesions. In this paper, we describe its microsurgical anatomy and detail its clinical application. Surgical positioning, removal of the orbital rim, and drilling the sphenoid ridge are the main principles of this technique. Adequate positioning is crucial to displace the temporal lobe from the middle fossa to improve exposure. Removing the orbital rim ensures an ample range of movement for the surgical microscope, augments visualization, and improves surgical versatility. Finally, drilling the sphenoid ridge amplifies exposure near the area of interest, permitting increased visualization and manipulation.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1625664microsurgicaltemporal lobesurgical procedures minimally invasive |
| spellingShingle | Eberval Gadelha Figueiredo Manoel Jacobsen Teixeira Microsurgical anatomy of the anterior approach to the mesial temporal region Brazilian Neurosurgery microsurgical temporal lobe surgical procedures minimally invasive |
| title | Microsurgical anatomy of the anterior approach to the mesial temporal region |
| title_full | Microsurgical anatomy of the anterior approach to the mesial temporal region |
| title_fullStr | Microsurgical anatomy of the anterior approach to the mesial temporal region |
| title_full_unstemmed | Microsurgical anatomy of the anterior approach to the mesial temporal region |
| title_short | Microsurgical anatomy of the anterior approach to the mesial temporal region |
| title_sort | microsurgical anatomy of the anterior approach to the mesial temporal region |
| topic | microsurgical temporal lobe surgical procedures minimally invasive |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1625664 |
| work_keys_str_mv | AT ebervalgadelhafigueiredo microsurgicalanatomyoftheanteriorapproachtothemesialtemporalregion AT manoeljacobsenteixeira microsurgicalanatomyoftheanteriorapproachtothemesialtemporalregion |