翼点入路开颅及侧裂显露范围.pptVIP

入路原则: 1,动脉瘤原位暴露,无脑组织损伤;2,充分暴露动脉瘤,载瘤动脉和周围结构;3, * * A frontotemporal flap centered at the pterion (pterional craniotomy) may be used for internal carotid artery aneurysms; The flap may be enlarged posterosuperiorly for reaching aneurysms of the middle cerebral artery and of the internal carotid artery bifurcation, forward for approaches to the anterior communicating area; posteriorly to provide a pterional-pretemporal or anterior subtemporal approach for an aneurysm of the basilar apex. * Method of opening the scalp； Location of aneurysm: at the level of the ophthalmic or sup