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Combined Pre- and Retrosigmoid Approach for Petroclival Meningiomas with the Aid of a Rotatable Head Frame: Peri-Auricular Three-Quarter Twist-Rotation Approach: Technical Note

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Combined Pre- and Retrosigmoid Approach for Petroclival Meningiomas with the Aid of a Rotatable Head Frame: Peri-Auricular Three-Quarter Twist-Rotation Approach: Technical Note
Id. 18114642
Idioma inglés
Titulo Combined Pre- and Retrosigmoid Approach for Petroclival Meningiomas with the Aid of a Rotatable Head Frame: Peri-Auricular Three-Quarter Twist-Rotation Approach: Technical Note
Autor(es) Fujitsu, Kazuhiko
Kitsuta, Yohichi
Takemoto, Yasunori
Matsunaga, Shigeo
Tateishi, Kensuke
Localización http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=1151694
Versión 1.0
Estado Final
Descripción We used the combined subtemporal presigmoid and suboccipital retrosigmoid multidirectional approach with the aid of a rotatable head frame (periauricular three-quarter twist-rotation approach) in 20 cases of petroclival meningiomas. Patients were placed in the lateral decubitus (park-bench) position. The head is twisted, rotated, and positioned 30 degrees face down in the Sugita rotatable head frame. By rotating this head frame, a 30- to 60-degree face-down position can be obtained when the suboccipital retrosigmoid route is used. Alternatively, the straight lateral or slightly brow-up position is obtained when the subtemporal presigmoid route is used. This twist-rotation approach provides multiple trajectories through the petroclival region with minimal drilling of the petrous bone, fatigue of the surgeon, and retraction of the brain.
Palabras clave Technical Note
Tipo de recurso Text
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Copyright
Copyright © 2004 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA.
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Fecha de contribución 04-mar-2008
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