Book contents
- Integrated Management of Complex Intracranial Lesions
- Integrated Management of Complex Intracranial Lesions
- Copyright page
- Dedication
- Contents
- Contributors
- Foreword
- Section I Endoscopic Endonasal (EN) Combined Approaches
- Section II Open Combined Approaches
- Chapter 6 Combined Transcranial Approach for Tumor Resection and Anterior Circulation Vascular Bypass
- Chapter 7 Hybrid/Combined Strategies for Vestibular Schwannomas
- Chapter 8 Transchoroidal, Subchoroidal, and Combined Approaches to the Third Ventricle
- Chapter 9 Combined Orbitofrontal Craniotomy and Direct Orbital Decompression
- Chapter 10 Transbasal and Transfacial Approach for Paranasal and Anterior Cranial Fossa Tumors
- Chapter 11 Combined Middle Fossa Craniotomy and Mastoidectomy for Cerebrospinal Fluid Leak Repair and Encephalocele Resection
- Chapter 12 Transcochlear and Extended/Combined Transcochlear Approaches for Complex Tumors of the Skull Base and Posterior Cranial Fossa
- Chapter 13 Combined Retrosigmoid and Orbitozygomatic Approach
- Chapter 14 Combined Retrosigmoid and Limited Anterior Petrosectomy (“Reverse Petrosectomy”)
- Chapter 15 Combined Suboccipital Craniotomy and Neck Dissection
- Chapter 16 Combined Petrosal Approach
- Chapter 17 Combined Keyhole Paramedian Supracerebellar-Transtentorial Approach
- Chapter 18 Combined Multi-portal “Pull-Through” Keyhole Craniotomy
- Chapter 19 Combined Keyhole Craniotomies for Multifocal or Multiple Lesions
- Chapter 20 Combined Microsurgical and Endovascular Treatment of Cerebrovascular and Skull Base Pathology
- Chapter 21 Combined Transsylvian-Subtemporal Approach to Anterior Circulation and Basilar Apex Aneurysms
- Index
- References
Chapter 16 - Combined Petrosal Approach
from Section II - Open Combined Approaches
Published online by Cambridge University Press: 05 October 2021
Edited by
Book contents
- Integrated Management of Complex Intracranial Lesions
- Integrated Management of Complex Intracranial Lesions
- Copyright page
- Dedication
- Contents
- Contributors
- Foreword
- Section I Endoscopic Endonasal (EN) Combined Approaches
- Section II Open Combined Approaches
- Chapter 6 Combined Transcranial Approach for Tumor Resection and Anterior Circulation Vascular Bypass
- Chapter 7 Hybrid/Combined Strategies for Vestibular Schwannomas
- Chapter 8 Transchoroidal, Subchoroidal, and Combined Approaches to the Third Ventricle
- Chapter 9 Combined Orbitofrontal Craniotomy and Direct Orbital Decompression
- Chapter 10 Transbasal and Transfacial Approach for Paranasal and Anterior Cranial Fossa Tumors
- Chapter 11 Combined Middle Fossa Craniotomy and Mastoidectomy for Cerebrospinal Fluid Leak Repair and Encephalocele Resection
- Chapter 12 Transcochlear and Extended/Combined Transcochlear Approaches for Complex Tumors of the Skull Base and Posterior Cranial Fossa
- Chapter 13 Combined Retrosigmoid and Orbitozygomatic Approach
- Chapter 14 Combined Retrosigmoid and Limited Anterior Petrosectomy (“Reverse Petrosectomy”)
- Chapter 15 Combined Suboccipital Craniotomy and Neck Dissection
- Chapter 16 Combined Petrosal Approach
- Chapter 17 Combined Keyhole Paramedian Supracerebellar-Transtentorial Approach
- Chapter 18 Combined Multi-portal “Pull-Through” Keyhole Craniotomy
- Chapter 19 Combined Keyhole Craniotomies for Multifocal or Multiple Lesions
- Chapter 20 Combined Microsurgical and Endovascular Treatment of Cerebrovascular and Skull Base Pathology
- Chapter 21 Combined Transsylvian-Subtemporal Approach to Anterior Circulation and Basilar Apex Aneurysms
- Index
- References
Summary
The combined petrosal approach (CTA) is one of the most complicated neurosurgical procedures. It is essential to learn and acquire the micro-anatomical key elements to complete a safe and less invasive CTA. The Fukushima lateral position can provide for an adequate surgical field and reduce the patient’s stress brought on by a long operative time. Three-layer scalp elevation including harvest of a vascularized flap is mandatory to carry out the closure. One should consider the bony landmarks to carry out the craniotomy safely and widely. The tentorial resection and dural incision are very important to secure the wide surgical field and to avoid complications. Closure with fat tissue and a vascularized flap is recommended to avoid postoperative CSF leak, deformity, and infection.
- Type
- Chapter
- Information
- Integrated Management of Complex Intracranial LesionsOpen, Endoscopic, and Keyhole Techniques, pp. 164 - 181Publisher: Cambridge University PressPrint publication year: 2021
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