Effects of Modified Osteoplastic Pterional Craniotomy on Temporal Muscle Volume and Frontal Muscle Nerve Function
Abstract Introduction Pterional craniotomy is a surgical approach frequently used in aneurysm and skull base surgery. Pterional craniotomy may lead to cosmetic and functional problems, such as eyebrow drop due to facial nerve frontal branch damage, temporal muscle atrophy, and temporomandibular joi...
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| Veröffentlicht in: | Journal of neurological surgery. Part B, Skull base Skull base, 2022-10, Vol.83 (5), p.554-558 |
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| container_title | Journal of neurological surgery. Part B, Skull base |
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| creator | Seçer, Mehmet Çam, İsa Gökbel, Aykut Ulutaş, Murat Çakır, Özgür Ergen, Anıl Çınar, Kadir |
| description | Abstract
Introduction
Pterional craniotomy is a surgical approach frequently used in aneurysm and skull base surgery. Pterional craniotomy may lead to cosmetic and functional problems, such as eyebrow drop due to facial nerve frontal branch damage, temporal muscle atrophy, and temporomandibular joint pain. The aim was to compare the postoperative effects of our modified osteoplastic craniotomy with classical pterional craniotomy in terms of any change in volume of temporal muscle and in the degree of frontal muscle nerve damage.
Materials and Methods
Aneurysm cases were operated with either modified osteoplastic pterional craniotomy or free bone flap pterional craniotomy according to the surgeon's preference. Outcomes were compared in terms of temporal muscle volume and frontal muscle nerve function 6 months postoperatively.
Results
Preoperative temporal muscle volume in the modified osteoplastic pterional and free bone flap pterional craniotomy groups were not different (
p
> 0.05). However, significantly less atrophy was observed in the postoperative temporal muscle volume of the osteoplastic group compared with the classical craniotomy group (
p
0.05).
Conclusion
Modified osteoplastic pterional craniotomy significantly reduced atrophy of temporal muscle and caused proportionally less frontal muscle nerve damage compared with pterional craniotomy, although this latter outcome was not significant. These findings suggest that osteoplastic craniotomy may be a more advantageous intervention in cosmetic and functional terms compared with classical pterional craniotomy. |
| doi_str_mv | 10.1055/s-0041-1741005 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_thiem</sourceid><recordid>TN_cdi_thieme_journals_10_1055_s_0041_1741005</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2714065012</sourcerecordid><originalsourceid>FETCH-LOGICAL-c428t-aa3cea74b8ed6a47da6827137dababc990c45a1deb1a6ba04cd7e70cd3e1a0c43</originalsourceid><addsrcrecordid>eNqNkcFrFDEUhwex2FJ79Sg5CjI1mSSTnYsgQ1eF1nqo4i28ybyxKTPJNsm09L83w65bexCaS0Le93554SuKN4yeMirlh1hSKljJlGCUyhfFUcUaXtZc_Hq5P3N2WJzEeEPzqjMp6KvikNe0UZJWR8Xt2TCgSZH4gVz43g4We3IZE_rNCDFZQ74nDNY7GEkbwFmf_PRAvCNXOG18yNcXczQjkp9-nCck4HqyDt6lx8o3DHdI1rMzKQe9Lg4GGCOe7Pbj4sf67Kr9Up5ffv7afjovjahWqQTgBkGJboV9DUL1UK8qxXg-dNCZpqFGSGA9dgzqDqgwvUJFTc-RQa7x4-LjNnczdxP2Bl3K0-pNsBOEB-3B6qcVZ6_1b3-nG1FXjVQ54N0uIPjbGWPSk40GxxEc-jnqPI2gtaSsyujpFjXBxxhw2D_DqF5U6agXVXqnKje8_Xe4Pf5XTAbeb4F77PwQjUVncI9ll4pLqZRatC5_XT2fbm2CRUTrZ5dya7ltTdcWJ9Q3fg5Zdvzf5H8A-OrBAA</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2714065012</pqid></control><display><type>article</type><title>Effects of Modified Osteoplastic Pterional Craniotomy on Temporal Muscle Volume and Frontal Muscle Nerve Function</title><source>Web of Science - Science Citation Index Expanded - 2021<img src="https://exlibris-pub.s3.amazonaws.com/fromwos-v2.jpg" /></source><source>PubMed Central</source><creator>Seçer, Mehmet ; Çam, İsa ; Gökbel, Aykut ; Ulutaş, Murat ; Çakır, Özgür ; Ergen, Anıl ; Çınar, Kadir</creator><creatorcontrib>Seçer, Mehmet ; Çam, İsa ; Gökbel, Aykut ; Ulutaş, Murat ; Çakır, Özgür ; Ergen, Anıl ; Çınar, Kadir</creatorcontrib><description>Abstract
Introduction
Pterional craniotomy is a surgical approach frequently used in aneurysm and skull base surgery. Pterional craniotomy may lead to cosmetic and functional problems, such as eyebrow drop due to facial nerve frontal branch damage, temporal muscle atrophy, and temporomandibular joint pain. The aim was to compare the postoperative effects of our modified osteoplastic craniotomy with classical pterional craniotomy in terms of any change in volume of temporal muscle and in the degree of frontal muscle nerve damage.
Materials and Methods
Aneurysm cases were operated with either modified osteoplastic pterional craniotomy or free bone flap pterional craniotomy according to the surgeon's preference. Outcomes were compared in terms of temporal muscle volume and frontal muscle nerve function 6 months postoperatively.
Results
Preoperative temporal muscle volume in the modified osteoplastic pterional and free bone flap pterional craniotomy groups were not different (
p
> 0.05). However, significantly less atrophy was observed in the postoperative temporal muscle volume of the osteoplastic group compared with the classical craniotomy group (
p
< 0.001). In addition, when comparing frontal muscle nerve function there was less nerve damage in the modified osteoplastic pterional craniotomy group compared with the classical craniotomy group, although this did not reach significance (
p
> 0.05).
Conclusion
Modified osteoplastic pterional craniotomy significantly reduced atrophy of temporal muscle and caused proportionally less frontal muscle nerve damage compared with pterional craniotomy, although this latter outcome was not significant. These findings suggest that osteoplastic craniotomy may be a more advantageous intervention in cosmetic and functional terms compared with classical pterional craniotomy.</description><identifier>ISSN: 2193-6331</identifier><identifier>EISSN: 2193-634X</identifier><identifier>DOI: 10.1055/s-0041-1741005</identifier><identifier>PMID: 36097502</identifier><language>eng</language><publisher>Rüdigerstraße 14, 70469 Stuttgart, Germany: Georg Thieme Verlag KG</publisher><subject>Clinical Neurology ; Life Sciences & Biomedicine ; Neurosciences & Neurology ; Original ; Original Article ; Science & Technology ; Surgery</subject><ispartof>Journal of neurological surgery. Part B, Skull base, 2022-10, Vol.83 (5), p.554-558</ispartof><rights>Thieme. All rights reserved.</rights><rights>Thieme. All rights reserved. 2021 Georg Thieme Verlag KG</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>true</woscitedreferencessubscribed><woscitedreferencescount>2</woscitedreferencescount><woscitedreferencesoriginalsourcerecordid>wos000735577700004</woscitedreferencesoriginalsourcerecordid><citedby>FETCH-LOGICAL-c428t-aa3cea74b8ed6a47da6827137dababc990c45a1deb1a6ba04cd7e70cd3e1a0c43</citedby><cites>FETCH-LOGICAL-c428t-aa3cea74b8ed6a47da6827137dababc990c45a1deb1a6ba04cd7e70cd3e1a0c43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9462957/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9462957/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,315,728,781,785,886,27929,27930,39263,53796,53798</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36097502$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Seçer, Mehmet</creatorcontrib><creatorcontrib>Çam, İsa</creatorcontrib><creatorcontrib>Gökbel, Aykut</creatorcontrib><creatorcontrib>Ulutaş, Murat</creatorcontrib><creatorcontrib>Çakır, Özgür</creatorcontrib><creatorcontrib>Ergen, Anıl</creatorcontrib><creatorcontrib>Çınar, Kadir</creatorcontrib><title>Effects of Modified Osteoplastic Pterional Craniotomy on Temporal Muscle Volume and Frontal Muscle Nerve Function</title><title>Journal of neurological surgery. Part B, Skull base</title><addtitle>J NEUROL SURG PART B</addtitle><addtitle>J Neurol Surg B Skull Base</addtitle><description>Abstract
Introduction
Pterional craniotomy is a surgical approach frequently used in aneurysm and skull base surgery. Pterional craniotomy may lead to cosmetic and functional problems, such as eyebrow drop due to facial nerve frontal branch damage, temporal muscle atrophy, and temporomandibular joint pain. The aim was to compare the postoperative effects of our modified osteoplastic craniotomy with classical pterional craniotomy in terms of any change in volume of temporal muscle and in the degree of frontal muscle nerve damage.
Materials and Methods
Aneurysm cases were operated with either modified osteoplastic pterional craniotomy or free bone flap pterional craniotomy according to the surgeon's preference. Outcomes were compared in terms of temporal muscle volume and frontal muscle nerve function 6 months postoperatively.
Results
Preoperative temporal muscle volume in the modified osteoplastic pterional and free bone flap pterional craniotomy groups were not different (
p
> 0.05). However, significantly less atrophy was observed in the postoperative temporal muscle volume of the osteoplastic group compared with the classical craniotomy group (
p
< 0.001). In addition, when comparing frontal muscle nerve function there was less nerve damage in the modified osteoplastic pterional craniotomy group compared with the classical craniotomy group, although this did not reach significance (
p
> 0.05).
Conclusion
Modified osteoplastic pterional craniotomy significantly reduced atrophy of temporal muscle and caused proportionally less frontal muscle nerve damage compared with pterional craniotomy, although this latter outcome was not significant. These findings suggest that osteoplastic craniotomy may be a more advantageous intervention in cosmetic and functional terms compared with classical pterional craniotomy.</description><subject>Clinical Neurology</subject><subject>Life Sciences & Biomedicine</subject><subject>Neurosciences & Neurology</subject><subject>Original</subject><subject>Original Article</subject><subject>Science & Technology</subject><subject>Surgery</subject><issn>2193-6331</issn><issn>2193-634X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>HGBXW</sourceid><recordid>eNqNkcFrFDEUhwex2FJ79Sg5CjI1mSSTnYsgQ1eF1nqo4i28ybyxKTPJNsm09L83w65bexCaS0Le93554SuKN4yeMirlh1hSKljJlGCUyhfFUcUaXtZc_Hq5P3N2WJzEeEPzqjMp6KvikNe0UZJWR8Xt2TCgSZH4gVz43g4We3IZE_rNCDFZQ74nDNY7GEkbwFmf_PRAvCNXOG18yNcXczQjkp9-nCck4HqyDt6lx8o3DHdI1rMzKQe9Lg4GGCOe7Pbj4sf67Kr9Up5ffv7afjovjahWqQTgBkGJboV9DUL1UK8qxXg-dNCZpqFGSGA9dgzqDqgwvUJFTc-RQa7x4-LjNnczdxP2Bl3K0-pNsBOEB-3B6qcVZ6_1b3-nG1FXjVQ54N0uIPjbGWPSk40GxxEc-jnqPI2gtaSsyujpFjXBxxhw2D_DqF5U6agXVXqnKje8_Xe4Pf5XTAbeb4F77PwQjUVncI9ll4pLqZRatC5_XT2fbm2CRUTrZ5dya7ltTdcWJ9Q3fg5Zdvzf5H8A-OrBAA</recordid><startdate>20221001</startdate><enddate>20221001</enddate><creator>Seçer, Mehmet</creator><creator>Çam, İsa</creator><creator>Gökbel, Aykut</creator><creator>Ulutaş, Murat</creator><creator>Çakır, Özgür</creator><creator>Ergen, Anıl</creator><creator>Çınar, Kadir</creator><general>Georg Thieme Verlag KG</general><general>Thieme Medical Publishers</general><scope>BLEPL</scope><scope>DTL</scope><scope>HGBXW</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20221001</creationdate><title>Effects of Modified Osteoplastic Pterional Craniotomy on Temporal Muscle Volume and Frontal Muscle Nerve Function</title><author>Seçer, Mehmet ; Çam, İsa ; Gökbel, Aykut ; Ulutaş, Murat ; Çakır, Özgür ; Ergen, Anıl ; Çınar, Kadir</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c428t-aa3cea74b8ed6a47da6827137dababc990c45a1deb1a6ba04cd7e70cd3e1a0c43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Clinical Neurology</topic><topic>Life Sciences & Biomedicine</topic><topic>Neurosciences & Neurology</topic><topic>Original</topic><topic>Original Article</topic><topic>Science & Technology</topic><topic>Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Seçer, Mehmet</creatorcontrib><creatorcontrib>Çam, İsa</creatorcontrib><creatorcontrib>Gökbel, Aykut</creatorcontrib><creatorcontrib>Ulutaş, Murat</creatorcontrib><creatorcontrib>Çakır, Özgür</creatorcontrib><creatorcontrib>Ergen, Anıl</creatorcontrib><creatorcontrib>Çınar, Kadir</creatorcontrib><collection>Web of Science Core Collection</collection><collection>Science Citation Index Expanded</collection><collection>Web of Science - Science Citation Index Expanded - 2021</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of neurological surgery. Part B, Skull base</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Seçer, Mehmet</au><au>Çam, İsa</au><au>Gökbel, Aykut</au><au>Ulutaş, Murat</au><au>Çakır, Özgür</au><au>Ergen, Anıl</au><au>Çınar, Kadir</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effects of Modified Osteoplastic Pterional Craniotomy on Temporal Muscle Volume and Frontal Muscle Nerve Function</atitle><jtitle>Journal of neurological surgery. Part B, Skull base</jtitle><stitle>J NEUROL SURG PART B</stitle><addtitle>J Neurol Surg B Skull Base</addtitle><date>2022-10-01</date><risdate>2022</risdate><volume>83</volume><issue>5</issue><spage>554</spage><epage>558</epage><pages>554-558</pages><issn>2193-6331</issn><eissn>2193-634X</eissn><abstract>Abstract
Introduction
Pterional craniotomy is a surgical approach frequently used in aneurysm and skull base surgery. Pterional craniotomy may lead to cosmetic and functional problems, such as eyebrow drop due to facial nerve frontal branch damage, temporal muscle atrophy, and temporomandibular joint pain. The aim was to compare the postoperative effects of our modified osteoplastic craniotomy with classical pterional craniotomy in terms of any change in volume of temporal muscle and in the degree of frontal muscle nerve damage.
Materials and Methods
Aneurysm cases were operated with either modified osteoplastic pterional craniotomy or free bone flap pterional craniotomy according to the surgeon's preference. Outcomes were compared in terms of temporal muscle volume and frontal muscle nerve function 6 months postoperatively.
Results
Preoperative temporal muscle volume in the modified osteoplastic pterional and free bone flap pterional craniotomy groups were not different (
p
> 0.05). However, significantly less atrophy was observed in the postoperative temporal muscle volume of the osteoplastic group compared with the classical craniotomy group (
p
< 0.001). In addition, when comparing frontal muscle nerve function there was less nerve damage in the modified osteoplastic pterional craniotomy group compared with the classical craniotomy group, although this did not reach significance (
p
> 0.05).
Conclusion
Modified osteoplastic pterional craniotomy significantly reduced atrophy of temporal muscle and caused proportionally less frontal muscle nerve damage compared with pterional craniotomy, although this latter outcome was not significant. These findings suggest that osteoplastic craniotomy may be a more advantageous intervention in cosmetic and functional terms compared with classical pterional craniotomy.</abstract><cop>Rüdigerstraße 14, 70469 Stuttgart, Germany</cop><pub>Georg Thieme Verlag KG</pub><pmid>36097502</pmid><doi>10.1055/s-0041-1741005</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| source | Web of Science - Science Citation Index Expanded - 2021<img src="https://exlibris-pub.s3.amazonaws.com/fromwos-v2.jpg" />; PubMed Central |
| subjects | Clinical Neurology Life Sciences & Biomedicine Neurosciences & Neurology Original Original Article Science & Technology Surgery |
| title | Effects of Modified Osteoplastic Pterional Craniotomy on Temporal Muscle Volume and Frontal Muscle Nerve Function |
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