Supraorbital keyhole craniotomy in surgery of anterior circle of willis aneurysms

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The progress in surgical treatment of intracranial aneurysms is based on the introduction of modern minimally invasive techniques. Among the variety of keyhole approaches, supraorbital craniotomy is most often used in surgical treatment of anterior circle of willis aneurysms. The authors present the preliminary results of application of supraorbital keyhole craniotomy for anterior circle of willis aneurysms in 27 patients. Most of the patients had unruptured aneurysms (18 patients). Nine patients had SAH, and 4 of them were operated on in the acute period. The patients’ condition was assessed as a grade 1―2 (Hunt-Hess scale) and grade 1―3 (Fisher scale). There were no intraoperative aneurysm ruptures, other serious complications, and deaths. Postoperative complications were assessed at 2 weeks and 6 months. The postoperative cosmetic outcome was assessed by patients as excellent.

Keywords:

supraorbital craniotomy

keyhole

eyebrow incision

minimally invasive surgery

aneurysm

Authors:

Dzhindzhikhadze R.S.

Kafedra neĭrokhirurgii GOU DPO RMAPO Roszdrava, Moskva

Dreval' O.N.

Rossiĭskaia meditsinskaia akademiia poslediplomnogo obrazovaniia, Moskva

Lazarev V.A.

Kafedra neĭrokhirurgii GOU DPO RMAPO Roszdrava, Moskva

ORCID: 0000-0001-9663-0960

Kambiev R.L.

Inozemtsev City Clinical Hospital, Moscow, Russia

List of references:

Neirokhirurgiya. Rukovodstvo v 2-kh tomakh. Pod red. Drevalya ON. M.: Izdatel'stvo GEOTAR-Media. 2013;1. (In Russ.).
Khirurgiya opukholei osnovaniya cherepa. Pod red. Konovalov AN. M. 2004. (In Russ.).
Khirurgiya anevrizm golovnogo mozga. Pod red. Krylova VV. M. 2012. (In Russ.).
Microkhirurgiya anevrizm golovnogo mozga. Pod red. Krylova VV. M. 2011. (In Russ.).
Figueiredo EG, Deshmukh P, Nakaji P, Crusius MU, Crawford N, Spetzler RF, Preul MG The minipterional craniotomy: technical description and anatomic assessment. Neurosurgery. 2007;61(ONS Supplmt 2):ONS256-ONS264. doi: 10.1227/01.neu.0000303978.11752.45
Reisch R, Stadie A, Kockro R, Hopf N. Keyhole concept in neurosurgery. World neurosurgery. 2013;(79):s17.e9-s17.e13. doi: 10.1016/j.wneu.2012.02.024
Teo C, Sugrhue M. Principles and practice of keyhole brain surgery. Georg Thieme Verlag. 2015.
Wong JHY, Tymanski R, Radovanovic I, et al. Minimally invasive microsurgery for cerebral aneurysms. Stroke. 2015;(46):2699-2706. doi: 10.1161/strokeaha.115.008221
Wongsirisuwan M, Ananthanandorn A, Prachasinchai P. The comparison of conventional pterional and transciliary keyhole approaches: pro and con. J Med Assoc Thai. 2004;87(8):891-897. doi: 10.1227/neu.0b013e3182804e9c
Reisch R, Perneczky A: Ten-year experience with the supraorbital subfrontal approach through an eyebrow skin incision. Neurosurgery 2005;(57):(4 Suppl):242-255. doi: 10.1227/01.neu.0000178353.42777.2c
Alekseev AG, Pichugin AA, Shayakhmetov NG, Pashaev BYu, Danilov VI. Chrezbrovnaya (transtsiliarnaya) supraorbital'naya kraniotomiya po tipu «keyhole» v khirurgii opukholei cherepnoi yamki i anevrizm i anevrizm perednei tsirkulyatsii Villizieva kruga: pervyi opyt neirokhirurgicheskogo otdeleniya. Rossiiskii neirokhirurgicheskii zhurnal im. A.L. Polenova. 2014;4:2:15-21. (In Russ.).
Hopf NJ, Reisch R: Axel Perneczky, 1.11.1945- 24.1.2009. Minim Invasive Neurosurg 2009;(52):1-4. doi: 10.1055/s-0029-1202818
Perneczky A, Reisch R: Multiple aneurysms treated via frontal interhemispheric approach. In: Kobayashi S ed. Neurosurgery of Complex Vascular Lesions and Tumors. Stuttgart: Thieme Verlag. 2005;7-11.
Reisch R, Perneczky A, Filippi R: Surgical technique of the supraorbital keyhole craniotomy. Surg Neurol.2003;(59):223-227. doi: 10.1016/s0090-3019(02)01037-6
Paladino J, Mrak G, Miklic P, Jednacak H, Mihaljevic D The keyhole concept in aneurysm surgery-a comparative study: keyhole versus standard craniotomy. Minim Invas Neurosurg. 2005;(48):251-258. doi:10.1055/s-2005-915599
Van Lindert E, Perneczky A, Fries G, Pierangeli E. The supraorbital keyhole approach to supratentorial aneurysms: concept and technique. Surg Neurol. 1998;(49):481-490. doi: 10.1016/s0090-3019(96)00539-3
Bhatoe HS. Transciliary supraorbital keyhole approach in the management of aneurysms of anterior circulation: operative nuances. Neurology India. 2009;57(4):599-606. doi: 10.4103/0028-3886.57812
Chen HS, Tzaan WC. Microsurgical supraorbital keyhole approach to the anterior cranial base. Journal of clinical neurosciences. 2010;(17):1510-1514. doi: 10.1016/j.jocn.2010.04.025
Chen L, Tian X, Zhang J, Huang Y, Chen E, Lan Q. Is eyebrow approach suitable for ruptured anterior circulation aneurysms on early stage: a prospective study at a single institute. Acta Neurochir. 2009;(151):781-784. doi: 10.1007/s00701-009-0205-9
Park HS, Park SK, Han YM. Microsurgical experience with supraorbital keyhole operations on anterior circulation aneurysms. J Korean Neurosurg Soc. 2009;(46):103-108. doi: 10.3340/jkns.2009.46.2.103
Park J, Kang DH, Chun BY Supercilicary keyhole surgery for unruptured posterior communicating artery aneurysms with oculo- motor nerve palsy: maximizing symptomatic resolution and minimizing surgical invasiveness. J Neurosurg. 2011;(115):700-706. doi: 10.3171/2011.5.jns102087
Park J, Supercilicary keyhole surgery for unruptured anterior circulation aneurysms: surgical technique, indications, and contrindications. J Korean Neurosurg Soc. 2014;56(5):371-374. doi: 10.3340/jkns.2014.56.5.371
Ramos-Zúñiga R, Velázquez H, Barajas MA, López R, Sánchez E, Trejo S: Trans-supraorbital approach to supratentorial aneurysms. Neurosurgery. 2002;(51):125-131. doi: 10.1097/00006123-200207000-00019
Shin D, Park J. Unruptured supraclinoid internal carotid artery aneurysm surgery:superciliary keyhole approach versus pterional approach. J Korean Neurosurg Soc. 2012;(52):306-311. doi: 10.3340/jkns.2012.52.4.306
Perneczky A, Fries G. Endoscope-assisted brain surgery: part 1-evolution, basic concept, and current technique. Neurosurgery. 1998;(42):219-225. doi: 10.1097/00006123-199802000-00001
Wang H, Luo L, Ye Z, et al. Clipping of anterior communicating artery aneurysms in the early post-rupture stage via transorbital keyhole approach - Chinese neurosurgical experience. British Journal of Neurosurgery. 2015;29(5):644-649. doi: 10.3109/02688697.2015.1023774
Eliava ShSh, Shekhtman OD, Pilipenko YuV, Okishev DN, Kheireddin AS, Kisar'ev SA, Kaftanov AN. Intraoperatsionnaya fluorestsentnaya angiografiya s indotsianinom v khirurgii anevrizm golovnogo mozga. Pervyi opyt primeneniya i obzor literatury. Voprosy neirokhirurgii im. N.N. Burdenko. 2015;(1):33-41. (In Russ.). doi: 10.17116/neiro201579133-41
Dzhindzhihadze RS, Dreval' ON, Lazarev VA, Kambiev RL, Bogdanovich IO. Supra- i transorbital'nyj dostupy v ostrom periode subarahnoidal'nogo anevrizmaticheskogo krovoizlijanija. Pokazanija i protivopokazanija. Rossijskij nejrohirurgicheskij zhurnal imeni professora A.L. Polenova. 2016;(2):8-24.

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