Pterional craniotomy

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  1. Yuka Furuya, M.D.

    Yuka Furuya, M.D.

    1. Transplant Pulmonologist
    1. Rochester, MN
    擅长领域：

    Pulmonary function test, Post-transplant care, Lung transplant, Post-transplant long-term care, Pre-transplant evaluati...on, Advanced lung disease, COPD, Cystic fibrosis, Pulmonary hypertension, Interstitial lung disease, Pulmonary fibrosis

Publications

See a list of publications by Mayo Clinic authors about pterional craniotomy on PubMed, a service of the National Library of Medicine.

来自妙佑医疗国际员工

在 Mayo Clinic 治疗

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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.
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  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.
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  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