Background: Highly performed nowadays, the pterional craniotomy (PC) has several widespread variants. However, these procedures are associated with complications such as temporalis muscle atrophy, facial nerve frontal branch damage, and masticatory difficulties. The postoperative cranial aesthetic is, nonetheless, the main setback according to patients. This review aims to map different pterional approaches focusing on final aesthetics.
Methods: This review follows the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement. Studies were classified through the Oxford method. We searched PubMed/MEDLINE, EMBASE, and Cochrane Library from January 1969 to February 2021 for cohorts and randomized clinical trials that met our inclusion criteria.
Results: 1484 articles were initially retrieved from the databases. 1328 articles did not fit the inclusion criteria. 118 duplicates were found. 38 studies were found eligible for the established criteria. 27 (71.05%) were retrospective cohorts, with low evidence level. Only 5 (13.15%) clinical trials were found eligible to the criteria. The majority of the studies (36/38) had the 2B OXFORD evidence level. A limited number of studies addressed cosmetic outcomes and patient satisfaction. The temporal muscle atrophy or temporal hollowing seems to be the patient's main complaint. Only 17 (44.73%) studies addressed patient satisfaction regarding the aesthetics, and only 10 (26.31%) of the studies reported the cosmetic outcome as a primary outcome. Nevertheless, minimally invasive approaches appear to overcome most cosmetic complaints and should be performed whenever possible.
Conclusion: There are several variants of the classic PC. The esthetic outcomes are poorly evaluated. The majority of the studies were low evidence articles.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8492413 | PMC |
| http://dx.doi.org/10.25259/SNI_485_2021 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Rare case of cochlear implant damaged by nearby use of monopolar electrosurgery.
Am J Otolaryngol
December 2024
Department of Otolaryngology-Head & Neck Surgery, University of California San Francisco, San Francisco, CA, United States of America. Electronic address:
Objectives: To present a rare case of a cochlear implant (CI) damaged by nearby use of monopolar electrosurgery.
Patient: A 38-year-old man with a right-sided CI reported that his implant had stopped producing sound immediately after his meningioma resection.
Interventions: Right pterional craniotomy with use of monopolar electrosurgery.
Multiple primary brain abscesses in a 14 years old immunocompetent boy: A tale of Proteus mirabilis infestation from Pakistan.
Pak J Med Sci
December 2024
Muhammad Talha Bilal, Post Graduate Resident, Department of Neurosurgery, Unit-I, Punjab Institute of Neurosciences, Lahore, Pakistan.
Brain abscess (BA) formation that may be due to due to Gram-positive bacteria commonly and less commonly due Gram-negative bacteria affects pediatric population. Most cases are secondary to the involvement of ear, nose, throat and sinuses (ENTS). We describe a rare case of a 14 year old patient presenting with generalized tonic clonic seizures for the last six months associated with fever, vomiting and headache.
View Article and Find Full Text PDFA rare case of huge intracranial yolk sac tumor presenting as an orbital mass in an infant: case report and literature review.
Discov Oncol
December 2024
Department of Radiology, Addis Ababa University, Addis Ababa, Ethiopia.
Primary intracranial yolk sac tumor (YST) with orbital involvement is an exceedingly rare extragonadal germ cell tumor, with only a limited number of cases reported in the literature. Clinically, primary intracranial yolk sac tumor with orbital involvement may present with symptoms that mimic more common benign or malignant orbital disorders in children, potentially leading to diagnostic delays that can adversely impact survival. Diagnostic imaging modalities, including computed tomography (CT) and magnetic resonance imaging (MRI), are instrumental for assessing the tumor's size, precise localization, and extent.
View Article and Find Full Text PDFAim: Bicoronal incision and bifrontal craniotomy are commonly used for resecting large (4-6 cm) or giant ( 6cm) olfactory groove meningiomas (OGMs). Although the bifrontal approach provides good bilateral visual access to the anterior cranial fossa, it is associated with the risk of injury to the frontal bridging veins and superior sagittal sinus, infection, and CSF leakage due to the frontal sinus neighborhood.
Material And Methods: This was a retrospective review of 16patients (nine men and seven women) with large and giant OGMs operated through unilateral extended pterional craniotomy between 2010 and 2022.
Clinicopathological Correlations in Intracranial Meningiomas.
Cureus
October 2024
Department of Neurosurgery, Dr. Sa'ad AL-Witri Hospital for Neurosciences, Baghdad, IRQ.
Background: Meningiomas are one of the most common primary intracranial neoplasms that may present with a wide variety of clinical symptoms, depending on multiple factors such as tumor size, location, and grade. Knowledge of the grade of meningioma correlated with their related symptoms is of great value in developing diagnostic and therapeutic approaches efficiently. Although various knowledge about meningiomas exists, there still seems to be a lacuna as far as explicit relations between tumoral characteristics and the severity or evolution of symptoms are concerned.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!