MISIAN (Minimally Invasive Surgery for Treatment of Unruptured Intracranial Aneurysms): A Prospective Randomized Single-Center Clinical Trial With Long-Term Follow-Up Comparing Different Minimally Invasive Surgery Techniques with Standard Open Surgery

Mandel, Maurício; Tutihashi, Rafael Mamoru Carneiro; Li, Yiping; Rosí, Jefferson; Jeng, Brasil Chian Ping; Teixeira, Manoel Jacobsen; Figueiredo, Eberval Gadelha

doi:10.1016/j.wneu.2021.04.079

Cited by 9 publications

(1 citation statement)

References 21 publications

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“…Minipterional, pterional keyhole, sphenoid ridge approach, Sylvian keyhole, distal transsylvian approach, thumbsize pterional, minisphenoidal and minimal invasive pterional keyhole are just a few of the many names that were identified in the systematic review. More recently, extended minipterional and nanopterional have been described, but did not meet inclusion criteria of this review [ 47 , 50 ].…”

Section: Discussionmentioning

confidence: 99%

‘What’s in a name’, a systematic review of the pterional craniotomy for aneurysm surgery and its many modifications with a proposal for simplified nomenclature

Candy,

Van Der Veken,

Van Velthoven

2024

Acta Neurochir

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Background The pterional or frontosphenotemporal craniotomy has stood the test of time and continues to be a commonly used method of managing a variety of neurosurgical pathology. Already described in the beginning of the twentieth century and perfected by Yasargil in the 1970s, it has seen many modifications. These modifications have been a normal evolution for most neurosurgeons, tailoring the craniotomy to the patients’ specific anatomy and pathology. Nonetheless, an abundance of variations have appeared in the literature. Methods A search strategy was devised according to the 2020 Preferred Reporting Items of Systematic Reviews and Meta-Analyses (PRISMA) statement. To identify articles investigating the variations in the pterional approach, the following search terms were applied: (pterional OR minipterional OR supraorbital) AND (approach OR craniotomy OR technique). Results In total, 3552 articles were screened with 74 articles being read in full with 47 articles being included for review. Each article was examined according the name of the technique, temporalis dissection technique, craniotomy technique and approach. Conclusion This systematic review gives an overview of the different techniques and modifications to the pterional craniotomy since it was initially described. We advocate for the use of a more standardised nomenclature that focuses on the target zone to simplify the management approach to supratentorial aneurysms.

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Section: Discussionmentioning

confidence: 99%