Interfascial approach for pterional craniotomy: technique and adjustments to prevent cosmetic complications.

Baucher, Guillaume; Bernard, Florian; Graillon, Thomas; Dufour, Henry · Acta Neurochir (Wien) · 2019

Level V

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Abstract

Interfascial dissection for pterional craniotomy is one of the main techniques to expose the pterional region. A step-by-step optimized method of interfascial dissection to avoid three main esthetic complications of the pterional approach-upper facial nerve palsy, temporal muscle atrophy, and retro-orbital depression. A video of the interfascial dissection and three artistic drawings are provided in support of this technique. A safe method of interfascial dissection, respecting anatomy, and avoiding cosmetic complications has been proposed.

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