Microsurgical experience with supraorbital keyhole operations on anterior circulation XXXX .

@entity1 @entity425 @entity260 @entity281 @entity439 @entity9905 @entity438
OBJECTIVE: Conventional pterional approach is a commonly used neurosurgical technique for the treatment of @entity438 . However, this technique requires more extensive brain exposure than other key hole approaches and is sometimes associated with surgical traumatization or cosmetic problems. The aim of this study was to compare the postoperative outcome between pterional and supraorbital keyhole approaches in the @entity1 with anterior circulation @entity439 . METHODS: The authors reviewed @entity1 with anterior circulation @entity439 who underwent @entity439 clipping via pterional or supraorbital keyhole approach at a single institute over a period of 2 years. Ninety-eight @entity1 harboring 108 @entity439 were included in this study. Various outcomes were recorded, which included clinical grade, cosmetic problems, @entity1 ' satisfaction and complications such as chewing discomfort, frontal @entity425 , @entity9905 , @entity281 . RESULTS: The supraorbital approach exhibited a shorter operation time compared with the pterional approach. Complications such as chewing discomfort occurred less frequently in the supraorbital approach group. Moreover, the cosmetic outcome was significantly better in the supraorbital group than in the pterional group. CONCLUSION: The supraorbital keyhole approach reduced intra- and @entity260 , including chewing discomfort and cosmetic disturbances, compared with the conventional pterional approach.
