{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,4]],"date-time":"2025-12-04T10:05:32Z","timestamp":1764842732086,"version":"3.37.3"},"reference-count":23,"publisher":"Georg Thieme Verlag KG","issue":"04","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Neurol Surg B Skull Base"],"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background\u2003Skull base approaches are utilized to improve microsurgical treatment of cerebral aneurysms. Advantages include early proximal and distal control, increased visualization, and minimal brain retraction. Orbitozygomatic (OZ) craniotomies via pterional incision are commonly used for the treatment of anterior communicating artery (ACoA) aneurysms. A smaller, less invasive OZ craniotomy performed through an eyebrow incision may provide several advantages over a standard OZ approach.<\/jats:p><jats:p>\n          Objective\u2003We compare surgical outcomes of the standard and eyebrow OZ for the treatment of ACoA aneurysms.<\/jats:p><jats:p>\n          Design\u2003All patients who underwent microsurgical treatment for ACoA aneurysms by a single surgeon over an 8-year period were included in this retrospective analysis. Patient demographics and clinical data were collected.<\/jats:p><jats:p>\n          Participants\u2003Thirty-seven consecutive patients were identified, with 15 receiving eyebrow OZ and 22 receiving standard OZ.<\/jats:p><jats:p>\n          Main Outcome Measures Data were collected on patient demographics, pathology, intraoperative and perioperative data, and 30-day morbidity.<\/jats:p><jats:p>\n          Results\u2003A total of 100% of the eyebrow OZ group and 95.5% of the standard OZ group had complete aneurysmal occlusion. Four eyebrow OZ and six standard OZ patients had an intraoperative rupture. All were managed without complication. Two eyebrow OZ and one standard OZ patient died within 30 days of surgery. No patients in either group had aneurysm recurrence, required retreatment, or were limited intraoperatively by exposure.<\/jats:p><jats:p>\n          Conclusions\u2003The OZ approach via an eyebrow incision has similar outcomes to a standard OZ approach and is a safe option for the treatment of ACoA aneurysms.<\/jats:p>","DOI":"10.1055\/a-2065-6021","type":"journal-article","created":{"date-parts":[[2023,3,29]],"date-time":"2023-03-29T23:54:11Z","timestamp":1680134051000},"page":"431-437","source":"Crossref","is-referenced-by-count":1,"title":["Standard Orbitozygomatic Craniotomy versus Mini Orbitozygomatic Craniotomy via an Eyebrow Incision for Microsurgical Treatment of Anterior Communicating Artery Aneurysms"],"prefix":"10.1055","volume":"85","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0908-7128","authenticated-orcid":false,"given":"David R.","family":"Peters","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Atrium Health's Carolinas Medical Center, Charlotte, North Carolina, United States"},{"name":"Carolina Neurosurgery and Spine Associates, Charlotte, North Carolina, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Graham","family":"Mulvaney","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Atrium Health's Carolinas Medical Center, Charlotte, North Carolina, United States"},{"name":"Carolina Neurosurgery and Spine Associates, Charlotte, North Carolina, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Steve","family":"Monk","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Atrium Health's Carolinas Medical Center, Charlotte, North Carolina, United States"},{"name":"Carolina Neurosurgery and Spine Associates, Charlotte, North Carolina, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brandon","family":"Karimian","sequence":"additional","affiliation":[{"name":"Brody School of Medicine, East Carolina University, Greenville, North Carolina, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Scott D.","family":"Wait","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Atrium Health's Carolinas Medical Center, Charlotte, North Carolina, United States"},{"name":"Carolina Neurosurgery and Spine Associates, Charlotte, North Carolina, United States"},{"name":"Department of Pediatric Neurosurgery, Levine Children's Hospital, Charlotte, North Carolina, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2023,4,18]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"809","DOI":"10.1016\/S0140-6736(05)67214-5","article-title":"International Subarachnoid Aneurysm Trial (ISAT) of neurosurgical clipping versus endovascular coiling in 2143 patients with ruptured intracranial aneurysms: a randomised comparison of effects on survival, dependency, seizures, rebleeding, subgroups, and aneurysm occlusion","volume":"366","author":"A J Molyneux","year":"2005","journal-title":"Lancet"},{"issue":"01","key":"ref2","doi-asserted-by":"crossref","first-page":"135","DOI":"10.3171\/2011.8.JNS101767","article-title":"The Barrow Ruptured Aneurysm Trial","volume":"116","author":"C G McDougall","year":"2012","journal-title":"J Neurosurg"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"1020","DOI":"10.3389\/fneur.2020.01020","article-title":"Anterior communicating artery aneurysms: anatomical considerations and microsurgical strategies","volume":"11","author":"J Chen","year":"2020","journal-title":"Front Neurol"},{"issue":"04","key":"ref4","doi-asserted-by":"crossref","first-page":"339","DOI":"10.1016\/0090-3019(93)90148-T","article-title":"Skull base approaches to complex cerebral aneurysms","volume":"40","author":"T C Origitano","year":"1993","journal-title":"Surg Neurol"},{"issue":"04","key":"ref5","doi-asserted-by":"crossref","first-page":"251","DOI":"10.1055\/s-2008-1058923","article-title":"Skull base approaches for posterior circulation aneurysms","volume":"5","author":"A P Bowles","year":"1995","journal-title":"Skull Base Surg"},{"issue":"05","key":"ref6","doi-asserted-by":"crossref","first-page":"924","DOI":"10.3171\/jns.2003.99.5.0924","article-title":"Modifications to the orbitozygomatic approach. Technical note","volume":"99","author":"G M Lemole Jr","year":"2003","journal-title":"J Neurosurg"},{"key":"ref7","first-page":"E119","article-title":"Three-piece orbitozygomatic approach","volume":"66","author":"A Campero","year":"2010","journal-title":"Neurosurgery"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"S130","DOI":"10.1016\/j.wneu.2014.07.038","article-title":"The supraorbital endoscopic approach for aneurysms","volume":"82","author":"R Reisch","year":"2014","journal-title":"World Neurosurg"},{"issue":"03","key":"ref10","first-page":"2079","article-title":"Supraorbital eyebrow keyhole approach for microsurgical management of ruptured anterior communicating artery aneurysm","volume":"20","author":"R Bhattarai","year":"2020","journal-title":"Exp Ther Med"},{"issue":"02","key":"ref11","doi-asserted-by":"crossref","first-page":"81","DOI":"10.3340\/jkns.2011.50.2.81","article-title":"Influence of clinical and anatomic features on treatment decisions for anterior communicating artery aneurysms","volume":"50","author":"J H Choi","year":"2011","journal-title":"J Korean Neurosurg Soc"},{"issue":"S 03","key":"ref12","doi-asserted-by":"crossref","first-page":"e190","DOI":"10.1055\/s-0039-3402025","article-title":"Orbitozygomatic craniotomy via an eyebrow incision: management of the opened frontal sinus","volume":"82","author":"D R Peters","year":"2021","journal-title":"J Neurol Surg B Skull Base"},{"issue":"03","key":"ref13","doi-asserted-by":"crossref","first-page":"605","DOI":"10.3171\/2014.11.JNS142261","article-title":"Editorial: clip or coil? Six years of follow-up in BRAT","volume":"123","author":"R L Macdonald","year":"2015","journal-title":"J Neurosurg"},{"issue":"03","key":"ref14","doi-asserted-by":"crossref","first-page":"771","DOI":"10.3171\/2018.8.JNS181846","article-title":"Ten-year analysis of saccular aneurysms in the Barrow Ruptured Aneurysm Trial","volume":"132","author":"R F Spetzler","year":"2019","journal-title":"J Neurosurg"},{"key":"ref15","doi-asserted-by":"crossref","first-page":"134","DOI":"10.1007\/BF01476064","article-title":"Clinical study of brain retraction in different approaches and diseases","volume":"87","author":"A Yokoh","year":"1987","journal-title":"Acta Neurochir (Wien)"},{"issue":"06","key":"ref16","first-page":"1052","article-title":"A review of brain retraction and recommendations for minimizing intraoperative brain injury","volume":"33","author":"R J Andrews","year":"1993","journal-title":"Neurosurgery"},{"issue":"06","key":"ref17","doi-asserted-by":"crossref","first-page":"1147","DOI":"10.1227\/01.NEU.0000359328.90826.97","article-title":"Quantitative and qualitative analysis of the working area obtained by endoscope and microscope in various approaches to the anterior communicating artery complex using computed tomography-based frameless stereotaxy: a cadaver study","volume":"65","author":"V Filipce","year":"2009","journal-title":"Neurosurgery"},{"issue":"06","key":"ref18","doi-asserted-by":"crossref","first-page":"E4","DOI":"10.3171\/FOC.2008.25.12.E4","article-title":"The work horse of skull base surgery: orbitozygomatic approach. Technique, modifications, and applications","volume":"25","author":"H Se\u00e7kin","year":"2008","journal-title":"Neurosurg Focus"},{"issue":"05","key":"ref19","doi-asserted-by":"crossref","first-page":"559","DOI":"10.1093\/ons\/opz246","article-title":"The orbitozygomatic craniotomy and its judicious use","volume":"18","author":"A Cohen-Gadol","year":"2020","journal-title":"Oper Neurosurg (Hagerstown)"},{"issue":"06","key":"ref20","doi-asserted-by":"crossref","first-page":"636","DOI":"10.23736\/S0390-5616.18.04562-9","article-title":"Minimally invasive approaches to aneurysms of the anterior circulation: selection criteria and clinical outcomes","volume":"62","author":"S Gandhi","year":"2018","journal-title":"J Neurosurg Sci"},{"issue":"02","key":"ref21","doi-asserted-by":"crossref","first-page":"219","DOI":"10.1097\/00006123-199802000-00001","article-title":"Endoscope-assisted brain surgery: part 1\u2013evolution, basic concept, and current technique","volume":"42","author":"A Perneczky","year":"1998","journal-title":"Neurosurgery"},{"issue":"01","key":"ref22","doi-asserted-by":"crossref","first-page":"102","DOI":"10.3171\/jns.1971.34.1.0102","article-title":"Limited exposure in cerebral surgery. Technical note","volume":"34","author":"D H Wilson","year":"1971","journal-title":"J Neurosurg"},{"issue":"04","key":"ref23","doi-asserted-by":"crossref","first-page":"583","DOI":"10.1016\/j.nec.2010.07.001","article-title":"The concept of minimally invasive neurosurgery","volume":"21","author":"C Teo","year":"2010","journal-title":"Neurosurg Clin N Am"},{"issue":"04","key":"ref24","doi-asserted-by":"crossref","first-page":"E20","DOI":"10.3171\/2014.7.FOCUS14203","article-title":"Endoscopic supraorbital eyebrow approach for the surgical treatment of extraaxial and intraaxial tumors","volume":"37","author":"R Gazzeri","year":"2014","journal-title":"Neurosurg Focus"}],"container-title":["Journal of Neurological Surgery Part B: Skull Base"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2065-6021.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,5]],"date-time":"2024-11-05T16:05:34Z","timestamp":1730822734000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2065-6021"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,3,29]]},"references-count":23,"journal-issue":{"issue":"04","published-online":{"date-parts":[[2024,7,3]]},"published-print":{"date-parts":[[2024,8]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2065-6021","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["2193-6331","2193-634X"],"issn-type":[{"type":"print","value":"2193-6331"},{"type":"electronic","value":"2193-634X"}],"subject":[],"published-other":{"date-parts":[[2023,3,29]]},"published":{"date-parts":[[2023,3,29]]}}}