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The extended eyebrow approach a cadaveric stepwise dissection.
Acta Neurochirurgica ( IF 1.9 ) Pub Date : 2020-01-09 , DOI: 10.1007/s00701-019-04203-w
Rafael Martinez-Perez 1 , Douglas A Hardesty 1, 2 , Ricardo L Carrau 1, 2 , Daniel M Prevedello 1, 2
Affiliation  

BACKGROUND The eyebrow incision supraorbital approach is limited by the lack of exposure of the sylvian fissure exposure. By extending the skin incision 15 mm posteriorly and the supraorbital craniotomy beneath the superior temporal line, proximal sylvian dissection is achievable, and the surgical exposure is drastically improved. METHODS Throughout a cadaveric stepwise dissection and a pertinent anatomical analysis, we describe in detail the surgical technique of the extended eyebrow approach (xEBA). We additionally highlight main anatomical elements involved in this approach and provide technical nuances to avoid complications. CONCLUSION xEBA is a versatile technique that uses the pretemporal, transylvian, and subfrontal corridor to enhance surgical exposure around the anterior cranial fossa.

中文翻译:

扩展的眉毛接近尸体解剖。

背景技术眉切口切口眶上入路由于缺少希尔夫裂痕暴露而受到限制。通过向后延长皮肤切口15 mm,并在颞上方线以下进行眶上颅骨开颅术,可以实现近端解剖性解剖,并大大改善了手术暴露。方法在整个尸体的逐步解剖和相关的解剖学分析中,我们详细描述了扩大眉法(xEBA)的手术技术。我们还将重点介绍此方法涉及的主要解剖元素,并提供技术上的细微差别以避免并发症。结论xEBA是一种多用途的技术,可使用颞前,经椎间盘和额下走廊增强前颅窝周围的手术暴露。
更新日期:2020-01-09
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