Pterional craniotomy

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Mayo Clinic healthcare professionals in neurology, neurosurgery and pediatric neurosurgery work with a multidisciplinary team of experts in many specialties to provide comprehensive care for adults and children who need a pterional craniotomy. Specialists in Mayo Clinic's Brain Tumor Program offer personalized and comprehensive care to people with brain tumors.

Your Mayo Clinic care team

Mayo Clinic's highly skilled neurosurgeons are trained in brain surgery and have experience performing pterional craniotomies and other surgical approaches to treat different brain conditions.

Mayo Clinic doctors and surgeons trained in conditions of the nervous system (neurologists and neurosurgeons) have experience diagnosing and treating conditions that require a pterional craniotomy. These conditions include brain tumors, brain aneurysms, vascular malformations, seizures and more.

Care focused on you

Mayo Clinic's neurologists and neurosurgeons have experience treating all types of brain, spine and nervous system conditions. They work with a team of doctors trained in many areas to determine the most appropriate treatment for you. Pediatric neurosurgeons are experts who care for children. These experts consult with doctors in other fields of medicine to provide exactly the care your child needs.

Mayo Clinic provides evaluation and treatment for many conditions such as brain tumors, aneurysms and arteriovenous malformations. This team approach helps you focus on getting well.

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Mayo Clinic tiene importantes instalaciones en Phoenix y Scottsdale, Arizona; Jacksonville, Florida; y Rochester, Minnesota. El Sistema de Salud de Mayo Clinic tiene docenas de instalaciones en diversos estados.

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Médicos y departamentos
Aug. 29, 2026
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  1. Candy NG, et al. '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. Acta Neurochirurgica. 2024; doi:10.1007/s00701-024-05888-4.
  2. Luzzi S, et al. Pterional approach. Acta Biomed. 2021; doi:10.23750/abm.v92iS4.12669.
  3. Winn RH, ed. Youmans and Winn Neurological Surgery. 8th ed. Elsevier; 2023. https://www.clinicalkey.com. Accessed July 8, 2026.
  4. Jandial R, ed. Pterional (frontosphenotemporal) craniotomy. In: Core Techniques in Operative Neurosurgery. 2nd ed. Elsevier; 2020. https://www.clinicalkey.com. Accessed June 11, 2026.
  5. Ong V, et al. The pterional keyhole craniotomy approach: A historical perspective. World Neurosurgery. 2023; doi:10.1016/j.wneu.2023.07.012.
  6. Health Education & Content Services. Craniotomy. Mayo Clinic; 2023.
  7. Warner DO, et al. Smoking or vaping: Perioperative management. https://www.uptodate.com/contents/search. Accessed Aug. 19, 2026.
  8. Phoowanakulchai S, et al. Persistent incisional pain at 1 year after craniotomy: A retrospective observational study. BMC Anesthesiology. 2023; doi:10.1186/s12871-023-02068-2.
  9. Florez-Perdomo WA, et al. Supraorbital vs pterional keyhole for anterior circulation aneurysms: A systematic review and meta-analysis. World Neurosurgery: X. 2023; doi:10.1016/j.wnsx.2023.100177.
  10. Raj S, ed. Transcranial approaches to the optic apparatus. In: Endoscopic Surgery of the Orbit. Elsevier; 2021. https://www.clinicalkey.com. Accessed July 24, 2026.
  11. Samagh N, et al. Post-craniotomy pain: An update. Journal of Neuroanaesthesiology and Critical Care. 2023; doi.org/10.1055/s-0042-1760271.
  12. Pterion. Dorland's Medical Dictionary Online. https://www.dorlandsonline.com. Accessed June 15, 2026.
  13. Shemesh SZ, et al. Neuropathic cranial pain phenotypes after craniotomy: A large, single-center retrospective cohort study. Medicina. 2026; doi:10.3390/medicina62050840.
  14. Paisansathan C, et al. Anesthesia for craniotomy in adults. https://www.uptodate.com/contents/search. Accessed July 23, 2026.
  15. Lesha E, et al. Length of stay following elective craniotomy for tumor resection in children and young adults: A retrospective case series. Journal of Neuro-Oncology. 2024; doi:10.1007/s11060-024-04887-w.
  16. Luzzi S, et al. Cranio-orbito-zygomatic approach: Core techniques for tailoring target exposure and surgical freedom. Brain Sciences. 2022; doi:10.3390/brainsci12030405.
  17. Yilmaz MC, et al. Exploring the lamina terminalis: A stepwise anatomical comparison of pterional and orbitozygomatic craniotomy approaches. Life. 2025; doi:10.3390/life15121804.
  18. Carlstrom LP, et al. Anatomical step-by-step dissection of complex skull base approaches for trainees: Surgical anatomy of the frontotemporal and orbitozygomatic craniotomies. Journal of Neurological Surgery Part B: Skull Base. 2024; doi:10.1055/a-2065-9495.
  19. Bernardo A, et al. Anterolateral routes to the skull base — The frontotemporal approaches and exposure of the sellar and parasellar regions. World Neurosurgery. 2023; doi:10.1016/j.wneu.2022.11.055.
  20. Folse MS, et al. 1-piece versus 2-piece fronto-temporo-orbito-zygomatic craniotomy: A narrative overview of evolution. World Neurosurgery. 2024; doi:10.1016/j.wneu.2024.03.132.
  21. Winter F, et al. Current state of the art of traditional and minimal invasive epilepsy surgery approaches. Brain and Spine. 2024; doi:10.1016/j.bas.2024.102755.
  22. Ong V, et al. The pterional keyhole craniotomy approach: A historical perspective. World Neurosurgery. 2023; doi:10.1016/j.wneu.2023.07.012.
  23. Avery MB, et al. Supraorbital and mini-pterional keyhole craniotomies for brain tumors: a clinical and anatomical comparison of indications and outcomes in 204 cases. Journal of Neurosurgery. 2022; doi:10.3171/2021.6.JNS21759.
  24. Rahmani R, et al. Perspectives on brain arteriovenous malformations from the surgical battlefield. Stroke: Vascular and Interventional Neurology. 2024; doi:10.1161/SVIN.124.001054.
  25. Sangrador-Deitos MV, et al. Novel hybrid technique for preservation of frontal branch of facial nerve: Subgaleal preinterfascial dissection. World Neurosurgery. 2024; doi:10.1016/j.wneu.2023.11.011.
  26. Shapey J, et al. Neurosurgical approaches to the skull base. Neuroimaging Clinics of North America. 2021; doi:10.1016/j.nic.2021.05.004.
  27. Panir MN, et al. A concise history of skull base surgery: what is its contribution to neurosurgery? Acta Neurochirurgica. 2026; doi:10.1007/s00701-025-06765-4.
  28. Skull. National Cancer Institute. https://www.cancer.gov/publications/dictionaries/cancer-terms/def/skull. Accessed July 9, 2026.
  29. Standring S, ed. Gray's Anatomy. 42nd ed. Elsevier; 2021. https://www.clinicalkey.com. Accessed July 9, 2026.
  30. Arteriovenous malformations (AVMs). National Institute of Neurological Disorders and Stroke. https://www.ninds.nih.gov/Disorders/All-Disorders/Arteriovenous-Malformation-Information-Page. Accessed July 9, 2026.
  31. Arteriovenous malformations. American Association of Neurological Surgeons. https://www.aans.org/Patients/Neurosurgical-Conditions-and-Treatments/Arteriovenous-Malformations. Accessed July 9, 2026.
  32. Singer RJ, et al. Brain arteriovenous malformations. https://www.uptodate.com/contents/search. Accessed Aug. 17, 2026.
  33. Cerebral aneurysms. National Institute of Neurological Disorders and Stroke. https://www.ninds.nih.gov/health-information/disorders/cerebral-aneurysms. Accessed July 9, 2026.
  34. Brown NJ, et al. Minimally invasive keyhole craniotomies for microsurgical clipping of cerebral aneurysms: Comparative meta-analysis of the mini-pterional and supraorbital keyhole approaches. Neurosurgical Review. 2024; doi:10.1007/s10143-024-02531-9.
  35. Joshi GP, et al. 2023 American Society of Anesthesiologists practice guidelines for preoperative fasting: carbohydrate-containing clear liquids with or without protein, chewing gum, and pediatric fasting duration — A modular update of the 2017 American Society of Anesthesiologists practice guidelines for preoperative fasting. Anesthesiology. 2023; doi:10.1097/ALN.0000000000004381.
  36. Questions to ask before having an operation. American College of Surgeons. https://www.facs.org/for-patients/surgery-faq/10-questions. Accessed July 30, 2026.
  37. Yin B, et al. ICGA combined with EP monitoring in microclipping of cerebral aneurysms. Neurosurgical Review. 2023; doi:10.1007/s10143-023-02111-3.
  38. Jarc N, et al. Assessment of postoperative pain, dysesthesia, and weather sensitivity after pterional and temporal neurosurgical approaches. Journal of Neurosurgery. 2024; doi:10.3171/2023.8.JNS231307.
  39. Hiraki C, et al. The meninges as CNS interfaces and the roles of meningeal macrophages. Biomolecules. 2025; doi:10.3390/biom15040497.
  40. Patel P, et al. Perioperative medication management. Medical Clinics of North America. 2024; doi:10.1016/j.mcna.2024.05.002.
  41. Anatomy of the brain. American Association of Neurological Surgeons. https://www.aans.org/patients/conditions-treatments/anatomy-of-the-brain. Accessed July 15, 2026.
  42. Central nervous system tumors treatment (PDQ) — Health professional version. National Cancer Institute. https://www.cancer.gov/types/brain/hp/adult-brain-treatment-pdq. Accessed July 15, 2026.
  43. Akkara Y, et al. Health-related quality of life outcomes of surgery for diffuse glioma: A systematic review and pooled analysis. Neuro-Oncology Practice. 2026; doi:10.1093/nop/npaf111.
  44. Park JK. Epidemiology, pathology, clinical features, and diagnosis of meningioma. https://www.uptodate.com/contents/search. Accessed July 15, 2026.
  45. Pituitary tumors. American Cancer Society. https://www.cancer.org/cancer/types/pituitary-tumors.html. Accessed July 15, 2026.
  46. Surgery for pituitary tumors. American Cancer Society. https://www.cancer.org/cancer/types/pituitary-tumors/treating/surgery.html. Accessed July 15, 2026.
  47. Toader C, et al. Comparison of transcranial and transsphenoidal approaches in intra and suprasellar pituitary adenoma — Systematic review. Acta Endocrinologica. 2023; doi:10.4183/aeb.2023.228.
  48. Medical review (expert opinion). Mayo Clinic. Aug. 7, 2026.
  49. Hoh BL, et al. 2023 Guideline for the management of patients with aneurysmal subarachnoid hemorrhage: A guideline from the American Heart Association/American Stroke Association. Stroke. 2023; doi:10.1161/STR.0000000000000436.
  50. Demirtaş OK, et al. Revisiting the combined approach of Yaşargil for microsurgical removal of intra‑extraventricular and pure intraventricular craniopharyngiomas. Acta Neurochirurgica. 2025; doi:10.1007/s00701-025-06560-1.
  51. After brain tumor treatment in adults. American Cancer Society. https://www.cancer.org/cancer/types/brain-spinal-cord-tumors-adults/after-treatment.html. Accessed July 28, 2026.
  52. Brain tumors in adults. American Cancer Society. https://www.cancer.org/cancer/types/brain-spinal-cord-tumors-adults.html. Accessed July 17, 2026.
  53. Phillips KR, et al. Predictors of extended length of stay related to craniotomy for tumor resection. World Neurosurgery X. 2023; doi:10.1016/j.wnsx.2023.100176.
  54. Childhood astrocytomas, other gliomas, and glioneuronal/neuronal tumors treatment (PDQ) — health professional version. National Cancer Institute. https://www.cancer.gov/types/brain/hp/child-astrocytoma-glioma-treatment-pdq. Accessed July 17, 2026.
  55. Adeleye O, et al. Postoperative symptoms and patient satisfaction after standard or minimally invasive pterional craniotomy for intracranial aneurysms. Cureus. 2026; doi:10.7759/cureus.111828.
  56. Kim HB, et al. The efficacy of surgical site suction drain insertion in pterional craniotomy for intracranial cerebral aneurysm. Journal of Cerebrovascular and Endovascular Neurosurgery. 2024; doi:10.7461/jcen.2024.E2023.08.001.
  57. Anesthesia care team. American Society of Anesthesiologists. https://madeforthismoment.asahq.org/anesthesia-101/anesthesia-care-team. Accessed July 24, 2026.
  58. General anesthesia. American Society of Anesthesiologists. https://madeforthismoment.asahq.org/anesthesia-101/types-of-anesthesia/general-anesthesia. Accessed July 24, 2026.
  59. Bertani R, et al. Minimally invasive craniotomies for lesions of the anterior and middle fossa. Neurosurgical Review. 2022; doi:10.1007/s10143-022-01850-z.
  60. Florez-Perdomo WA, et al. Supraorbital vs pterional keyhole for anterior circulation aneurysms: A systematic review and meta-analysis. World Neurosurgery. 2023; doi:10.1016/j.wnsx.2023.100177.
  61. Brunner A, et al. Minimally invasive supraorbital vs. traditional pterional approaches in unruptured aneurysm surgery: Evaluating risks and results. Brain Sciences. 2025; doi:10.3390/brainsci15121315.
  62. Kreul TG, et al. Functional and cosmetic outcomes of pterional craniotomy and its modifications: A scoping review. Cureus. 2026; doi:10.7759/cureus.108862.
  63. Rodrigues de Oliveira MP, et al. Pterional vs. mini-pterional craniotomy for intracranial aneurysms: A systematic review and meta-analysis. Neurosurgical Review. 2025; doi:10.1007/s10143-025-03221-w.
  64. Jackson M, et al. Predictors of temporalis muscle atrophy and head asymmetry following frontotemporal craniotomy: A retrospective analysis of clinical factors and volumetric comparison. Surgical Neurology International. 2025; doi:10.25259/SNI_996_2024.
  65. Mansour LT, et al. Systematic review and meta-analysis of minimally invasive approaches compared to standard pterional craniotomy for cerebral aneurysms in 4140 patients. Journal of Clinical Neuroscience. 2026; doi:10.1016/j.jocn.2026.111893.
  66. Chen J, et al. Different sides of craniotomy for anteriorly superiorly projecting anterior communicating artery aneurysm clipping: Outcome and long-term cognitive function: A single-center retrospective study. World Neurosurgery. 2025; doi:10.1016/j.wneu.2025.123695.
  67. Surgery for brain tumors in adults. American Cancer Society. https://www.cancer.org/cancer/types/brain-spinal-cord-tumors-adults/treating/surgery.html. Accessed July 21, 2026.
  68. AskMayoExpert. Periprocedural glycemic control (adult). Mayo Clinic; 2024.
  69. Dowlatshahi S, et al. Type 2 diabetes management in inpatients. Elsevier; 2024. https://www.clinicalkey.com. Accessed July 21, 2026.
  70. Berkow LC. Airway management for general anesthesia in adults. https://www.uptodate.com/contents/search. Accessed July 24, 2026.
  71. Choi TW, et al. Comparative study of the refined mini-pterional approach with reduced skin incision versus the conventional mini-pterional approach for clipping unruptured middle cerebral artery aneurysms: a propensity score-matched analysis. Neurosurgical Review. 2025; doi:10.1007/s10143-025-03547-5.
  72. Medicines. American College of Surgeons. https://www.facs.org/for-patients/preparing-for-surgery/strong-for-surgery/medicines. Accessed July 21, 2026.
  73. Sweitzer B. Preoperative medicine: evaluating and optimizing patients before anesthesia and surgery. Anesthesiology and Perioperative Science. 2026; doi:10.1007/s44254-025-00134-1.
  74. Leskinen S, et al. Applications of functional magnetic resonance imaging to the study of functional connectivity and activation in neurological disease: A scoping review of the literature. World Neurosurgery. 2024; doi:10.1016/j.wneu.2024.06.003.
  75. Functional MRI (fMRI). RadiologyInfo.org. https://www.radiologyinfo.org/en/info/fmribrain. Accessed July 22, 2026.
  76. Chen H, et al. The extended pterional approach allows satisfactory results for the resection of huge medial sphenoid ridge meningioma. World Neurosurgery. 2023; doi:10.1016/j.wneu.2023.05.054.
  77. Medical review (expert opinion). Mayo Clinic. Aug. 2, 2022.

Pterional craniotomy