Pterional craniotomy

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行此手术的医生

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  1. Gina K. Hesley, M.D.

    Gina K. Hesley, M.D.

    1. Radiologist
    1. Rochester, MN
    擅长领域：

    Kidney biopsy

  2. Mario Hevesi, M.D., Ph.D.

    Mario Hevesi, M.D., Ph.D.

    1. Orthopedic Surgeon
    1. Rochester, MN
    擅长领域：

    ACL surgery, Hip replacement, Periacetabular osteotomy, Hip arthroscopy, Knee arthroscopy, Osteotomy, Meniscus repair, ...Hip preservation surgery, Hip labral repair, Meniscectomy, Direct anterior approach hip replacement

  3. Sara A. Hevesi, M.D.

    Sara A. Hevesi, M.D.

    1. Rochester, MN
  4. Winston R. Hewitt, Jr., M.D.

    Winston R. Hewitt, Jr., M.D.

    1. Transplant Surgeon
    1. Phoenix, AZ
    擅长领域：

    Liver transplant, Kidney transplant, Living donor liver transplant, Pancreas transplant

  5. Benjamin Hibbert, M.D., Ph.D.

    Benjamin Hibbert, M.D., Ph.D.

    1. Interventional Cardiologist
    1. Rochester, MN
    擅长领域：

    Coronary angiogram, Transcatheter aortic valve replacement, Valvuloplasty, Mitral valve transcatheter edge-to-edge repa...ir, Left atrial appendage closure, Septoplasty, Percutaneous valve procedure, Patent foramen ovale closure, Atrial septal defect closure, Heart disease, Heart valve disease, Coronary artery disease

  6. Rebecca Hibbert, M.D.

    1. Radiologist
    1. Rochester, MN
    擅长领域：

    Cryoablation for cancer, Ultrasound-guided liver biopsy, Chest tube placement, Fine needle aspiration, Bone marrow biop...sy and aspiration, Ultrasound-guided kidney biopsy, Chest wall biopsy, Lung biopsy, Radiofrequency ablation for cancer, Microwave ablation for cancer, Ablation therapy, Bone biopsy, Ultrasound-guided injection, Thyroid ablation, CT-guided drainage, CT-guided biopsy, Bone tumor ablation, Lung tumor ablation, Thyroid fine needle aspiration, Ultrasound-guided biopsy, High-intensity focused ultrasound, Biopsy, Tumor biopsy, Catheter insertion, Lymph node biopsy, Ethanol sclerotherapy, Liver cancer, Hepatocellular carcinoma, Pneumothorax, Renal cell carcinoma, Kidney cancer, Thyroid nodule, Liver tumor, Desmoid tumor, Thyroid cancer, Pleural effusion, Adrenal cancer, Bone metastasis, Abscess

  7. LaTonya J. Hickson, M.D.

    LaTonya J. Hickson, M.D.

    1. Nephrologist
    1. Jacksonville, FL
    擅长领域：

    Kidney transplant, Chronic kidney disease, End-stage renal disease, Focal segmental glomerulosclerosis

  8. Krystin A. Hidden, M.D.

    Krystin A. Hidden, M.D.

    1. Orthopedic Surgeon
    1. Rochester, MN
    擅长领域：

    Nonunion surgery, Pelvic surgery, Lower extremity reconstruction, Acetabular fracture repair, Broken elbow, Hip fractur...e, Fracture, Malunion, Nonunion

  9. Tina J. Hieken, M.D.

    Tina J. Hieken, M.D.

    1. Surgical Oncologist
    1. Rochester, MN
    擅长领域：

    Breast biopsy, Mastectomy, Lumpectomy, Excisional biopsy, Breast duct excision, Breast surgery, Wire localization for b...reast surgery, Prophylactic mastectomy, Breast cancer surgery, Lymphadenectomy, Radioactive seed localization, Sentinel node biopsy, Melanoma surgery, Minimally invasive surgery, Breast abscess drainage, Nipple-sparing mastectomy, Sentinel lymph node surgery, Oncoplastic breast-conserving surgery, Modified radical mastectomy, Skin-sparing mastectomy, TVEC injection, Lymph node biopsy, Double mastectomy, TRAM flap, Breast cancer, Fibroadenoma, Atypical hyperplasia of the breast, BRCA gene mutation, Melanoma, Breast cysts and lumps, Lobular carcinoma in situ, Squamous cell carcinoma of the skin, Ductal carcinoma in situ, Merkel cell carcinoma, Invasive ductal carcinoma, Invasive lobular carcinoma, Paget's disease of the breast, Inflammatory breast cancer, Recurrent breast cancer, Male breast cancer, HER2-positive breast cancer, Phyllodes tumor, Tubular breast cancer, Triple-positive breast cancer, Triple-negative breast cancer, Medullary breast cancer, Squamous cell carcinoma of the breast, Luminal A breast cancer, Luminal B breast cancer, Papillary breast cancer, Mucinous breast cancer, Paget's disease of the nipple, Metastatic breast cancer, Atypical lobular hyperplasia, Atypical ductal hyperplasia

  10. Talal Hilal, M.D.

    Talal Hilal, M.D.

    1. Hematologist / Oncologist
    1. Phoenix, AZ
    擅长领域：

    Bone marrow transplant, Bone marrow biopsy and aspiration, CAR-T cell therapy, Non-Hodgkin lymphoma, Hodgkin lymphoma, ...Waldenstrom macroglobulinemia, Chronic lymphocytic leukemia, B-cell lymphoma, Hairy cell leukemia, Follicular lymphoma

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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关于在 Mayo Clinic 治疗
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.
  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