PMID- 24294555
OWN - NLM
STAT- PubMed-not-MEDLINE
DCOM- 20131202
LR  - 20211021
IS  - 2193-6331 (Print)
IS  - 2193-634X (Electronic)
IS  - 2193-634X (Linking)
VI  - 73
IP  - 6
DP  - 2012 Dec
TI  - Combined subgaleal/myocutaneous technique for temporalis muscle dissection.
PG  - 387-93
LID - 10.1055/s-0032-1326778 [doi]
AB  - Background The frontal branch of the facial nerve (FBFN) is the most susceptible 
      neural structure to injury during frontotemporal craniotomies. The balance 
      between adequate temporalis muscle mobilization and frontal branch protection 
      with minimal anatomical alteration is the philosophy behind our approach to 
      temporalis muscle dissection. Objective To describe a combined 
      subgaleal/myocutaneous technique for dissection and mobilization of the 
      temporalis muscle in anterolateral cranial approaches. Methods Interdisciplinary 
      literature review of the anatomical course of the FBFN was performed. 
      Retrospective analysis of anterolateral craniotomies performed at our institution 
      in which the combined subgaleal/myocutaneous (CSGMC) technique was performed. 
      Results A total of 71 cases of anterolateral craniotomies (excluding full variant 
      orbitozygomatic) were performed with the successful application of a CSGMC 
      technique (36 pterional, 31 orbitopterional, and 4 fronto-orbital). Partial 
      frontalis weakness was transient in one case. Conclusion The CSGMC technique 
      provides sufficient protection for the FBFN and allows for adequate mobilization 
      for a variety of skull base exposures while minimally violating myofascial 
      anatomy. This is the first reported technique that allows both adequate 
      temporalis muscle mobilization with performance of the one-piece orbitofrontal 
      and orbitopterional approaches, without disruption of the superficial/deep 
      temporalis fascia and fat-pad complex.
FAU - Youssef, A Samy
AU  - Youssef AS
AD  - Department of Neurosurgery, University of South Florida, Tampa, Florida.
FAU - Ahmadian, Amir
AU  - Ahmadian A
FAU - Ramos, Edwin
AU  - Ramos E
FAU - Vale, Fernando
AU  - Vale F
FAU - van Loveren, Harry R
AU  - van Loveren HR
LA  - eng
PT  - Journal Article
DEP - 20120918
PL  - Germany
TA  - J Neurol Surg B Skull Base
JT  - Journal of neurological surgery. Part B, Skull base
JID - 101580780
PMC - PMC3578593
OTO - NOTNLM
OT  - facial nerve
OT  - frontalis palsy
OT  - interfascial
OT  - subfascial
OT  - temporalis
EDAT- 2013/12/03 06:00
MHDA- 2013/12/03 06:01
PMCR- 2013/12/01
CRDT- 2013/12/03 06:00
PHST- 2011/12/03 00:00 [received]
PHST- 2012/02/09 00:00 [accepted]
PHST- 2013/12/03 06:00 [entrez]
PHST- 2013/12/03 06:00 [pubmed]
PHST- 2013/12/03 06:01 [medline]
PHST- 2013/12/01 00:00 [pmc-release]
AID - 73387 [pii]
AID - 10.1055/s-0032-1326778 [doi]
PST - ppublish
SO  - J Neurol Surg B Skull Base. 2012 Dec;73(6):387-93. doi: 10.1055/s-0032-1326778. 
      Epub 2012 Sep 18.