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A Comparative Study between Supraorbital Keyhole and Pterional Approaches on Anterior Circulation Aneurysms
- Source :
- The Malaysian Journal of Medical Sciences : MJMS
- Publication Year :
- 2018
- Publisher :
- Penerbit Universiti Sains Malaysia, 2018.
-
Abstract
- Background Many different conventional approaches such as the frontal and pterional approaches are used to access anterior circulation aneurysms. Recently, the supraorbital approach has been widely applied to the treatment of anterior circulation aneurysms. This study was done to evaluate which approach (pterional or supraorbital) has better outcomes in terms of residual neck post-clipping, cosmetic satisfaction, scar tenderness, complications and functional outcomes. Methodology A total of 123 patients were recruited into this study, comprising 82 patients who underwent a pterional approach and 41 patients who underwent a supraorbital approach. Computed tomography angiograms, the modified Rankin Scale, and the visual analogue scale were administered at 6 months to look for residual aneurysm, functional outcomes, scar tenderness, and cosmetic satisfaction. Complication data were collected from patients' case notes. Results The mean operating time for the pterional group was 226 min, compared to supraorbital group, which was 192 min (P = 0.07). Cosmetic satisfaction was significantly higher (P = 0.001) in the supraorbital group. There was no significant difference between the supraorbital and pterional groups' scar tenderness (P = 0.719), residual aneurysm (P = 0.719), or functional outcomes (P = 0.137), and there was no significant difference between the groups in terms of intra-operative and post-operative complications. Conclusions The supraorbital group had better cosmetic outcomes and shorter operating times compared to the pterional group.
- Subjects :
- medicine.medical_specialty
Visual analogue scale
medicine.medical_treatment
03 medical and health sciences
0302 clinical medicine
Aneurysm
Modified Rankin Scale
medicine
Operating time
neurosurgery
Craniotomy
supraorbital
business.industry
craniotomy
General Medicine
Clipping (medicine)
medicine.disease
Surgery
030220 oncology & carcinogenesis
aneurysm
Original Article
clipping
Neurosurgery
Complication
business
030217 neurology & neurosurgery
Subjects
Details
- ISSN :
- 21804303 and 1394195X
- Volume :
- 25
- Database :
- OpenAIRE
- Journal :
- Malaysian Journal of Medical Sciences
- Accession number :
- edsair.doi.dedup.....86c787eaa62d8a2cc9abefef12f9f6f0