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Surgical Anatomy and Clinical Complications of Presigmoid Approach

Year 2018, Volume: 44 Issue: 1, 33 - 40, 01.05.2018
https://doi.org/10.32708/uutfd.429459

Abstract

Presigmoid approaches are used for lateral access to the upper and middle third of the clivus and the petrous apex. These approaches provide anterolateral visualization of the brain stem after mobilization of the transvers-sigmoid sinus junction. In comparison to classical subtemporal or paramedian suboccipital approaches, these skull base approaches provide safer and wider surgical access to petroclival region lesions and enable more complete resections. In dealing with tumors in the petroclival region the main goal is maximal safe resection. The complications due to presigmoid approaches are generally temporary and manageable.

References

  • 1. Tjahjadi M, Niemelä M, Kivelev J, et al. Presigmoid Approach to Vertebrobasilar Artery Aneurysms: A Series of 31 Patients and Review of the Literature. World Neurosurg. 2016;92:313-22.
  • 2. Gross BA, Tavanaiepour D, Du R, Al-Mefty O, Dunn IF. Petrosal approaches to posterior circulation aneurysms. Neuro-surg Focus. 2012;33:E9
  • 3. Lin H, Zhao G. A comparative anatomic study of a modified temporal-occipital transtentorial transpetrosal-ridge approach and transpetrosal presigmoid approach. 2011;75(3-4):495-502
  • 4. Kawase T. Advantages and disadvantages of surgical approac-hes to petroclival lesions. World Neurosurg. 2011;75(3-4):421
  • 5. Ohata K, Haque M, Morino M, Nagai K, Nishio A, Nishijima Y, et al. Occlusion of the sigmoid sinus after surgery via the pre-sigmoidal-transpetrosal approach. J Neurosurg. 1998;89:575-84
  • 6. Keiper GL Jr, Sherman JD, Tomsick TA, Tew JM Jr. Dural sinus thrombosis and pseudotumor cerebri: unexpected compli-cations of suboccipital craniotomy and translabyrinthine crani-ectomy. J Neurosurg. 1999;91:192-97.
  • 7. Frič R, Eide PK. The presigmoid approach for removal of tumours causing ventral compression of the brainstem. Surgical results and postoperative quality of life. Br J Neurosurg. 2011;25(1):86-93.
  • 8. Gonzalez LF, Amin-Hanjani S, Bambakidis NC, Spetzler RF. Skull base approaches to the basilar artery. Neurosurg Focus. 2005;19:E3
  • 9. Gross BA, Tavanaiepour D, Du R, Al-Mefty O, Dunn IF. Evolution of the posterior petrosal approach. Neurosurg Focus. 2012;33:E7.
  • 10. Aziz KM, van Loveren HR, Tew JM Jr, Chicoine MR. The Kawase approach to retrosellar and upper clival basilar aneurysms. Neurosurgery.1999;44:1225-34.

Presigmoid Yaklaşımda Cerrahi Anatomi ve Klinik Komplikasyonlar

Year 2018, Volume: 44 Issue: 1, 33 - 40, 01.05.2018
https://doi.org/10.32708/uutfd.429459

Abstract

Presigmoid girişimler klivusun üst 1/3 ve orta 1/3 bölümlerine ve petröz apekse lateralden yaklaşım için kullanılan girişimlerdir. Bu girişimler transvers-sigmoid sinüs bileşkesini mobilize ederek beyin sapına anterolateralden bakışı mümkün kılarlar. Bu kafa tabanı girişimleri klasik subtemporal ve suboksipital paramediyan girişimlere kıyasla daha geniş bir cerrahi koridor sağlar ve petroklival bölge lezyonlarında daha yüksek oranlarda total rezeksiyonu mümkün kılarlar. Oluşan komplikasyonlar sıklıkla geçici ve tedavi edilebilir olaylardır.

References

  • 1. Tjahjadi M, Niemelä M, Kivelev J, et al. Presigmoid Approach to Vertebrobasilar Artery Aneurysms: A Series of 31 Patients and Review of the Literature. World Neurosurg. 2016;92:313-22.
  • 2. Gross BA, Tavanaiepour D, Du R, Al-Mefty O, Dunn IF. Petrosal approaches to posterior circulation aneurysms. Neuro-surg Focus. 2012;33:E9
  • 3. Lin H, Zhao G. A comparative anatomic study of a modified temporal-occipital transtentorial transpetrosal-ridge approach and transpetrosal presigmoid approach. 2011;75(3-4):495-502
  • 4. Kawase T. Advantages and disadvantages of surgical approac-hes to petroclival lesions. World Neurosurg. 2011;75(3-4):421
  • 5. Ohata K, Haque M, Morino M, Nagai K, Nishio A, Nishijima Y, et al. Occlusion of the sigmoid sinus after surgery via the pre-sigmoidal-transpetrosal approach. J Neurosurg. 1998;89:575-84
  • 6. Keiper GL Jr, Sherman JD, Tomsick TA, Tew JM Jr. Dural sinus thrombosis and pseudotumor cerebri: unexpected compli-cations of suboccipital craniotomy and translabyrinthine crani-ectomy. J Neurosurg. 1999;91:192-97.
  • 7. Frič R, Eide PK. The presigmoid approach for removal of tumours causing ventral compression of the brainstem. Surgical results and postoperative quality of life. Br J Neurosurg. 2011;25(1):86-93.
  • 8. Gonzalez LF, Amin-Hanjani S, Bambakidis NC, Spetzler RF. Skull base approaches to the basilar artery. Neurosurg Focus. 2005;19:E3
  • 9. Gross BA, Tavanaiepour D, Du R, Al-Mefty O, Dunn IF. Evolution of the posterior petrosal approach. Neurosurg Focus. 2012;33:E7.
  • 10. Aziz KM, van Loveren HR, Tew JM Jr, Chicoine MR. The Kawase approach to retrosellar and upper clival basilar aneurysms. Neurosurgery.1999;44:1225-34.
There are 10 citations in total.

Details

Primary Language Turkish
Journal Section Research Article
Authors

Rövşen Bagirov This is me

Mevlüt Özgür Taşkapılıoğlu

Selçuk Yılmazlar This is me

Publication Date May 1, 2018
Acceptance Date February 8, 2018
Published in Issue Year 2018 Volume: 44 Issue: 1

Cite

APA Bagirov, R., Taşkapılıoğlu, M. Ö., & Yılmazlar, S. (2018). Presigmoid Yaklaşımda Cerrahi Anatomi ve Klinik Komplikasyonlar. Uludağ Üniversitesi Tıp Fakültesi Dergisi, 44(1), 33-40. https://doi.org/10.32708/uutfd.429459
AMA Bagirov R, Taşkapılıoğlu MÖ, Yılmazlar S. Presigmoid Yaklaşımda Cerrahi Anatomi ve Klinik Komplikasyonlar. Uludağ Tıp Derg. April 2018;44(1):33-40. doi:10.32708/uutfd.429459
Chicago Bagirov, Rövşen, Mevlüt Özgür Taşkapılıoğlu, and Selçuk Yılmazlar. “Presigmoid Yaklaşımda Cerrahi Anatomi Ve Klinik Komplikasyonlar”. Uludağ Üniversitesi Tıp Fakültesi Dergisi 44, no. 1 (April 2018): 33-40. https://doi.org/10.32708/uutfd.429459.
EndNote Bagirov R, Taşkapılıoğlu MÖ, Yılmazlar S (April 1, 2018) Presigmoid Yaklaşımda Cerrahi Anatomi ve Klinik Komplikasyonlar. Uludağ Üniversitesi Tıp Fakültesi Dergisi 44 1 33–40.
IEEE R. Bagirov, M. Ö. Taşkapılıoğlu, and S. Yılmazlar, “Presigmoid Yaklaşımda Cerrahi Anatomi ve Klinik Komplikasyonlar”, Uludağ Tıp Derg, vol. 44, no. 1, pp. 33–40, 2018, doi: 10.32708/uutfd.429459.
ISNAD Bagirov, Rövşen et al. “Presigmoid Yaklaşımda Cerrahi Anatomi Ve Klinik Komplikasyonlar”. Uludağ Üniversitesi Tıp Fakültesi Dergisi 44/1 (April 2018), 33-40. https://doi.org/10.32708/uutfd.429459.
JAMA Bagirov R, Taşkapılıoğlu MÖ, Yılmazlar S. Presigmoid Yaklaşımda Cerrahi Anatomi ve Klinik Komplikasyonlar. Uludağ Tıp Derg. 2018;44:33–40.
MLA Bagirov, Rövşen et al. “Presigmoid Yaklaşımda Cerrahi Anatomi Ve Klinik Komplikasyonlar”. Uludağ Üniversitesi Tıp Fakültesi Dergisi, vol. 44, no. 1, 2018, pp. 33-40, doi:10.32708/uutfd.429459.
Vancouver Bagirov R, Taşkapılıoğlu MÖ, Yılmazlar S. Presigmoid Yaklaşımda Cerrahi Anatomi ve Klinik Komplikasyonlar. Uludağ Tıp Derg. 2018;44(1):33-40.

ISSN: 1300-414X, e-ISSN: 2645-9027

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