Publish in this journal
Journal Information


Congress content
XXI Congreso Nacional de la Sociedad Española de Neurocirugía
Barcelona, 17-19 May 2017
List of sessions
Full Text


P. Reimunde Figueira, J.C. Gutiérrez Morales, Y. Batista Batista, A. Fernández Canal, J. Rodríguez Noguera and A. López García

Servicio de Neurocirugía, Hospital Universitario Central de Asturias, Oviedo, Spain.

Objectives: The present study describes our results during the last 10 years (2006-2016) regarding the preservation of the frontotemporal branch (FTB) of the facial nerve during pterional craniotomy in 450 patients using interfascial, subfascial and submuscular dissections.

Methods: We carried out a descriptive and retrospective study of historical cohort. We reviewed all the cases operated on by pterional craniotomy and performed by the same experienced surgeon of our Department of Neurosurgery during the period 2006-2016. For each reported case, we analyzed the type of temporal dissection performed and the existence or not of facial paresis in the post-surgical period as well as its evolution during the follow up at our outpatient clinic.

Results: We recorded 450 clinical cases that respected the study inclusion criteria. Our outcomes demonstrate that submuscular dissection technique presents an ARR in comparison to interfascial dissection technique of 28.88%, 5.55% and 4.44% (for the immediate post-surgical period, after 6 months and after 12 months, respectively); compared to subfascial dissection technique, the submuscular technique presents an ARR of 39.09%, 10.9% and 9.09%. Moreover, submuscular approach shows a RRR of 100% compared to both interfascial and subfascial approaches.

Conclusions: Submuscular dissection technique could offer greater protection and preservation of the FTB of the facial nerve during pterional approach.

Neurocirugía (English edition)

Subscribe to our Newsletter

es en

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?

es en
Política de cookies Cookies policy
Utilizamos cookies propias y de terceros para mejorar nuestros servicios y mostrarle publicidad relacionada con sus preferencias mediante el análisis de sus hábitos de navegación. Si continua navegando, consideramos que acepta su uso. Puede cambiar la configuración u obtener más información aquí. To improve our services and products, we use "cookies" (own or third parties authorized) to show advertising related to client preferences through the analyses of navigation customer behavior. Continuing navigation will be considered as acceptance of this use. You can change the settings or obtain more information by clicking here.