{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T16:59:45Z","timestamp":1789837185267,"version":"4.0.1"},"reference-count":24,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,7,22]],"date-time":"2024-07-22T00:00:00Z","timestamp":1721606400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,7,22]],"date-time":"2024-07-22T00:00:00Z","timestamp":1721606400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100012320","name":"Otto-von-Guericke-Universit\u00e4t Magdeburg","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100012320","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Neurosurg Rev"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    The pterional approach has traditionally been employed for managing middle cerebral artery (MCA) aneurysms. With potential benefits like reduced surgical morbidity and improved postoperative recovery, the lateral supraorbital approach (LSO) should be considered individually based on aneurysm morphology, location and patient-specific variations of the MCA anatomy, which requires considerable technical expertise traditionally acquired through years of experience. The goal of this study was the development and evaluation of a novel phantom simulator in the context of clinical decision-making in the managmement of MCA aneurysms. For this purpose, high-fidelity simulators inclusive of MCA models with identical M1- and bifurcation aneurysms were manufactured employing 3D reconstruction techniques, additive manufacturing and rheological testings. Medical students, neurosurgical residents, and seasoned neurosurgeons (\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u200922) tested and evaluated both approaches. Participants\u2019 performances and progress over time were assessed based on objective metrics. The simulator received positive ratings in face and content validity, with mean scores of 4.9 out of 5, respectively. Objective evaluation demonstrated the model\u2019s efficacy as a practical training tool, particularly among inexperienced participants. While requiring more technical expertise, results of the comparative analysis suggest that the LSO approach can improve clipping precision and outcome particularly in patients with shorter than average M1-segments. In conclusion, the employed methodology allowed a direct comparison of the pterional and LSO approaches, revealing comparable success rates via the LSO approach while reducing operation time and complication rate. Future research should aim to establish simulators in the context of clinical decision making.\n                  <\/jats:p>","DOI":"10.1007\/s10143-024-02518-6","type":"journal-article","created":{"date-parts":[[2024,7,21]],"date-time":"2024-07-21T23:11:21Z","timestamp":1721603481000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Pterional vs. lateral supraorbital approach in the management of middle cerebral artery aneurysms: insights from a phantom model study"],"prefix":"10.1007","volume":"47","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8360-9046","authenticated-orcid":false,"given":"Amir","family":"Amini","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7264-0013","authenticated-orcid":false,"given":"Vanessa M.","family":"Swiatek","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4461-7769","authenticated-orcid":false,"given":"Klaus-Peter","family":"Stein","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2047-7175","authenticated-orcid":false,"given":"Ali","family":"Rashidi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8922-2616","authenticated-orcid":false,"given":"I. Erol","family":"Sandalcioglu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3163-0545","authenticated-orcid":false,"given":"Belal","family":"Neyazi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,7,22]]},"reference":[{"issue":"2","key":"2518_CR1","doi-asserted-by":"publisher","first-page":"60","DOI":"10.1053\/otns.2001.25567","volume":"4","author":"HT Wen","year":"2001","unstructured":"Wen HT, de Oliveira E, Tedeschi H, Andrade FC, Rhoton AL (2001) The pterional approach: Surgical anatomy, operative technique, and rationale. Operative Techniques Neurosurg 4(2):60\u201372. https:\/\/doi.org\/10.1053\/otns.2001.25567","journal-title":"Operative Techniques Neurosurg"},{"issue":"6","key":"2518_CR2","first-page":"491","volume":"63","author":"MG Yasargil","year":"2005","unstructured":"1, Yasargil MG, Antic J, Laciga R, Jain KK, Hodosh RM, Smith RD (2005) Microsurgical pterional approach to aneurysms of the basilar bifurcation. Surg Neurol 63(6):491\u2013499","journal-title":"Surg Neurol"},{"key":"2518_CR3","doi-asserted-by":"publisher","first-page":"36","DOI":"10.1016\/j.wneu.2017.09.058","volume":"109","author":"H Tra","year":"2018","unstructured":"Tra H, Huynh T, Nguyen B (2018) Minipterional and Supraorbital Keyhole craniotomies for ruptured anterior circulation aneurysms: experience at single Center. World Neurosurg 109:36\u201339. https:\/\/doi.org\/10.1016\/j.wneu.2017.09.058","journal-title":"World Neurosurg"},{"key":"2518_CR4","doi-asserted-by":"publisher","first-page":"350","DOI":"10.1016\/j.wneu.2017.02.025","volume":"102","author":"Q Lan","year":"2017","unstructured":"Lan Q, Zhang H, Zhu Q et al (2017) Keyhole Approach for clipping intracranial aneurysm: comparison of Supraorbital and Pterional Keyhole Approach. World Neurosurg 102:350\u2013359. https:\/\/doi.org\/10.1016\/j.wneu.2017.02.025","journal-title":"World Neurosurg"},{"issue":"6","key":"2518_CR5","doi-asserted-by":"publisher","first-page":"1758","DOI":"10.1016\/j.wneu.2015.07.046","volume":"84","author":"Q Lan","year":"2015","unstructured":"Lan Q, Zhu Q, Li G (2015) Microsurgical treatment of posterior cerebral circulation Aneurysms Via Keyhole approaches. World Neurosurg 84(6):1758\u20131764. https:\/\/doi.org\/10.1016\/j.wneu.2015.07.046","journal-title":"World Neurosurg"},{"issue":"5","key":"2518_CR6","doi-asserted-by":"publisher","first-page":"256","DOI":"10.1227\/01.neu.0000303978.11752.45","volume":"61","author":"EG Figueiredo","year":"2007","unstructured":"Figueiredo EG, Deshmukh P, Nakaji P et al (2007) The minipterional craniotomy: technical description and anatomic assessment. Operative Neurosurg 61(5):256\u2013265. https:\/\/doi.org\/10.1227\/01.neu.0000303978.11752.45","journal-title":"Operative Neurosurg"},{"key":"2518_CR7","doi-asserted-by":"publisher","first-page":"34","DOI":"10.1016\/j.jocn.2015.07.032","volume":"27","author":"EG Figueiredo","year":"2016","unstructured":"Figueiredo EG, Welling LC, Preul MC et al (2016) Surgical experience of minipterional craniotomy with 102 ruptured and unruptured anterior circulation aneurysms. J Clin Neurosci 27:34\u201339. https:\/\/doi.org\/10.1016\/j.jocn.2015.07.032","journal-title":"J Clin Neurosci"},{"key":"2518_CR8","doi-asserted-by":"publisher","unstructured":"Hernesniemi J, Ishii K, Niemel\u00e4 M et al (2005) Lateral supraorbital approach as an alternative to the classical pterional approach. In: Yonekawa Y, Keller E, Sakurai Y, Tsukahara T (eds) New trends of surgery for stroke and its Perioperative Management. Acta Neurochirurgica Supplements, vol 94. Springer-, pp 17\u201321. doi:https:\/\/doi.org\/10.1007\/3-211-27911-3_4","DOI":"10.1007\/3-211-27911-3_4"},{"issue":"1","key":"2518_CR9","doi-asserted-by":"publisher","first-page":"156","DOI":"10.4103\/sni.sni_185_18","volume":"9","author":"J Choque-Velasquez","year":"2018","unstructured":"Choque-Velasquez J, Hernesniemi J (2018) One burr-hole craniotomy: lateral supraorbital approach in Helsinki Neurosurgery. Surg Neurol Int 9(1):156. https:\/\/doi.org\/10.4103\/sni.sni_185_18","journal-title":"Surg Neurol Int"},{"issue":"5","key":"2518_CR10","doi-asserted-by":"publisher","first-page":"445","DOI":"10.1097\/00000658-199705000-00002","volume":"225","author":"JL Cameron","year":"1997","unstructured":"Cameron JL (1997) William Stewart Halsted. Our surgical heritage. Ann Surg 225(5):445\u2013458. https:\/\/doi.org\/10.1097\/00000658-199705000-00002","journal-title":"Ann Surg"},{"issue":"1","key":"2518_CR11","doi-asserted-by":"publisher","first-page":"E13","DOI":"10.1503\/cjs.003319","volume":"63","author":"JR Wright","year":"2020","unstructured":"Wright JR, Schachar NS (2020) Necessity is the mother of invention: William Stewart Halsted\u2019s addiction and its influence on the development of residency training in North America. CJS 63(1):E13\u2013E18. https:\/\/doi.org\/10.1503\/cjs.003319","journal-title":"CJS"},{"issue":"1","key":"2518_CR12","doi-asserted-by":"publisher","first-page":"52","DOI":"10.1227\/NEU.0000000000000583","volume":"11","author":"A Alaraj","year":"2015","unstructured":"Alaraj A, Luciano CJ, Bailey DP et al (2015) Virtual reality cerebral aneurysm clipping Simulation with Real-Time haptic feedback. Operative Neurosurg 11(1):52\u201358. https:\/\/doi.org\/10.1227\/NEU.0000000000000583","journal-title":"Operative Neurosurg"},{"issue":"1","key":"2518_CR13","doi-asserted-by":"publisher","first-page":"43","DOI":"10.1007\/s00381-015-2923-z","volume":"32","author":"R Rehder","year":"2016","unstructured":"Rehder R, Abd-El-Barr M, Hooten K, Weinstock P, Madsen JR, Cohen AR (2016) The role of simulation in neurosurgery. Childs Nerv Syst 32(1):43\u201354. https:\/\/doi.org\/10.1007\/s00381-015-2923-z","journal-title":"Childs Nerv Syst"},{"issue":"2","key":"2518_CR14","doi-asserted-by":"publisher","first-page":"364","DOI":"10.4103\/ajns.AJNS_269_18","volume":"14","author":"LM Oliveira","year":"2019","unstructured":"Oliveira LM, Figueiredo EG (2019) Simulation Training methods in neurological surgery. Asian J Neurosurg 14(2):364\u2013370. https:\/\/doi.org\/10.4103\/ajns.AJNS_269_18","journal-title":"Asian J Neurosurg"},{"issue":"2","key":"2518_CR15","doi-asserted-by":"publisher","first-page":"155","DOI":"10.1007\/s12178-014-9209-z","volume":"7","author":"KSN Akhtar","year":"2014","unstructured":"Akhtar KSN, Chen A, Standfield NJ, Gupte CM (2014) The role of simulation in developing surgical skills. Curr Rev Musculoskelet Med 7(2):155\u2013160. https:\/\/doi.org\/10.1007\/s12178-014-9209-z","journal-title":"Curr Rev Musculoskelet Med"},{"key":"2518_CR16","unstructured":"Saalfeld S, Berg P, Neugebauer M, Preim B (2015) Reconstruction of 3d surface meshes for blood flow simulations of intracranial aneurysms. In Proceedings of the annual meeting of the german society of computer- and robot-assisted surgery (CURAC), pp. 163\u2013168"},{"issue":"3","key":"2518_CR17","doi-asserted-by":"publisher","first-page":"225","DOI":"10.1227\/ons.0000000000000272","volume":"23","author":"A Amini","year":"2022","unstructured":"Amini A, Zeller Y, Stein KP et al (2022) Overcoming barriers in Neurosurgical Education: a Novel Approach to practical Ventriculostomy Simulation. Operative Neurosurg 23(3):225\u2013234. https:\/\/doi.org\/10.1227\/ons.0000000000000272","journal-title":"Operative Neurosurg"},{"key":"2518_CR18","doi-asserted-by":"publisher","first-page":"315","DOI":"10.1016\/j.actbio.2017.06.024","volume":"60","author":"S Budday","year":"2017","unstructured":"Budday S, Sommer G, Haybaeck J, Steinmann P, Holzapfel GA, Kuhl E (2017) Rheological characterization of human brain tissue. Acta Biomater 60:315\u2013329. https:\/\/doi.org\/10.1016\/j.actbio.2017.06.024","journal-title":"Acta Biomater"},{"issue":"4","key":"2518_CR19","doi-asserted-by":"publisher","first-page":"1187","DOI":"10.1007\/s11831-019-09352-w","volume":"27","author":"S Budday","year":"2020","unstructured":"Budday S, Ovaert TC, Holzapfel GA, Steinmann P, Kuhl E (2020) Fifty shades of brain: a review on the mechanical testing and modeling of Brain tissue. Arch Computat Methods Eng 27(4):1187\u20131230. https:\/\/doi.org\/10.1007\/s11831-019-09352-w","journal-title":"Arch Computat Methods Eng"},{"issue":"8","key":"2518_CR20","doi-asserted-by":"publisher","first-page":"939","DOI":"10.1007\/s00276-023-03148-1","volume":"45","author":"S Urvi","year":"2023","unstructured":"Urvi S, Suman V, Subathra A (2023) Assessment of morphometric parameters of middle cerebral artery using CT angiography in a tertiary care hospital. Surg Radiol Anat 45(8):939\u2013945. https:\/\/doi.org\/10.1007\/s00276-023-03148-1","journal-title":"Surg Radiol Anat"},{"key":"2518_CR21","doi-asserted-by":"publisher","first-page":"952","DOI":"10.1016\/j.wneu.2017.06.045","volume":"105","author":"E Belykh","year":"2017","unstructured":"Belykh E, Miller EJ, Lei T et al (2017) Face, Content, and Construct Validity of an aneurysm clipping model using human placenta. World Neurosurg 105:952\u2013960e2. https:\/\/doi.org\/10.1016\/j.wneu.2017.06.045","journal-title":"World Neurosurg"},{"issue":"9","key":"2518_CR22","doi-asserted-by":"publisher","first-page":"1063","DOI":"10.1002\/bjs.9482","volume":"101","author":"SR Dawe","year":"2014","unstructured":"Dawe SR, Pena GN, Windsor JA et al (2014) Systematic review of skills transfer after surgical simulation-based training. Br J Surg 101(9):1063\u20131076. https:\/\/doi.org\/10.1002\/bjs.9482","journal-title":"Br J Surg"},{"issue":"2","key":"2518_CR23","doi-asserted-by":"publisher","first-page":"166","DOI":"10.1097\/SLA.0b013e318176bf24","volume":"248","author":"LP Sturm","year":"2008","unstructured":"Sturm LP, Windsor JA, Cosman PH, Cregan P, Hewett PJ, Maddern GJ (2008) A systematic review of skills transfer after Surgical Simulation Training. Ann Surg 248(2):166\u2013179. https:\/\/doi.org\/10.1097\/SLA.0b013e318176bf24","journal-title":"Ann Surg"},{"key":"2518_CR24","doi-asserted-by":"publisher","unstructured":"Davids J, Manivannan S, Darzi A, Giannarou S, Ashrafian H, Marcus HJ (2020) Simulation for skills training in neurosurgery: a systematic review, meta-analysis, and analysis of progressive scholarly acceptance. Neurosurg Rev Published Online September 18. https:\/\/doi.org\/10.1007\/s10143-020-01378-0","DOI":"10.1007\/s10143-020-01378-0"}],"container-title":["Neurosurgical Review"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10143-024-02518-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s10143-024-02518-6\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10143-024-02518-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,4]],"date-time":"2025-03-04T05:29:00Z","timestamp":1741066140000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s10143-024-02518-6"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,7,22]]},"references-count":24,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,12]]}},"alternative-id":["2518"],"URL":"https:\/\/doi.org\/10.1007\/s10143-024-02518-6","relation":{"has-preprint":[{"id-type":"doi","id":"10.21203\/rs.3.rs-3986785\/v1","asserted-by":"object"}]},"ISSN":["1437-2320"],"issn-type":[{"value":"1437-2320","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,7,22]]},"assertion":[{"value":"25 February 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"29 May 2024","order":2,"name":"revised","label":"Revised","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"13 June 2024","order":3,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"22 July 2024","order":4,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare no competing interests.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}},{"value":"The study protocol was conducted in compliance with the Declaration of Helsinki and approved by the ethics committee of the Otto-von-Guericke University Magdeburg. (Ethics vote number: RENOVA 94\/20)","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"Complete written informed consent was obtained from the patient for the publication of this study and accompanying images.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"The authors have no personal, financial, or institutional interest in any of the drugs, materials, or devices described in this article. Patient consent for participation and publication was obtained.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}],"article-number":"344"}}