{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T12:00:02Z","timestamp":1786449602968,"version":"build-2736575974"},"reference-count":37,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2018,2]]},"abstract":"<jats:sec><jats:title>OBJECTIVE<\/jats:title><jats:p>The objective of this study was to evaluate and compare the level of patient satisfaction and approach-related patient complaints between a superciliary keyhole approach and a pterional approach.<\/jats:p><\/jats:sec><jats:sec><jats:title>METHODS<\/jats:title><jats:p>Patients who underwent an ipsilateral superciliary keyhole approach and a contralateral pterional approach for bilateral intracranial aneurysms during an 11-year period were contacted and asked to complete a patient satisfaction questionnaire. The questionnaire covered 5 complaint areas related to the surgical approaches: craniotomy-related pain, sensory symptoms in the head, cosmetic complaints, palpable cranial irregularities, and limited mouth opening. The patients were asked to rate the 5 complaint areas on a scale from 0 (asymptomatic or very pleasant) to 4 (severely symptomatic or very unpleasant). Finally, the patients were asked to rate the level of overall satisfaction related to each surgical procedure on a visual analog scale (VAS) from 0 (most unsatisfactory) to 100 (most satisfactory).<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p>A total of 21 patients completed the patient satisfaction questionnaire during a follow-up clinic visit. For the superciliary procedures, no craniotomy-related pain, palpable irregularities, or limited mouth opening was reported, and only minor sensory symptoms (numbness in the forehead) and cosmetic complaints (short linear operative scar) were reported (score = 1) by 1 (4.8%) and 3 patients (14.3%), respectively. Compared with the pterional approach, the superciliary approach showed better outcomes regarding the incidence of craniotomy-related pain, cosmetic complaints, and palpable irregularities, with a significant between-approach difference (p &lt; 0.05). Furthermore, the VAS score for patient satisfaction was significantly higher for the superciliary approach (mean 95.2 \u00b1 6.0 [SD], range 80\u2013100) than for the pterional approach (mean 71.4 \u00b1 10.6, range 50\u201390). Moreover, for the pterional approach, a multiple linear regression analysis indicated that the crucial factors decreasing the level of patient satisfaction were cosmetic complaints, craniotomy-related pain, and sensory symptoms, in order of importance (p &lt; 0.05).<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSIONS<\/jats:title><jats:p>In successful cases in which the primary surgical goal of complete aneurysm clipping without postoperative complications is achieved, a superciliary keyhole approach provides a much higher level of patient satisfaction than a pterional approach, despite a facial wound. For a pterional approach, the patient satisfaction level is affected by the cosmetic results, craniotomy-related pain, and numbness behind the hairline, in order of importance.<\/jats:p><\/jats:sec>","DOI":"10.3171\/2017.8.jns171167","type":"journal-article","created":{"date-parts":[[2018,3,2]],"date-time":"2018-03-02T15:00:14Z","timestamp":1520002814000},"page":"220-226","source":"Crossref","is-referenced-by-count":17,"title":["Pterional versus superciliary keyhole approach: direct comparison of approach-related complaints and satisfaction in the same patient"],"prefix":"10.3171","volume":"130","author":[{"given":"Jaechan","family":"Park","sequence":"first","affiliation":[{"name":"Department of Neurosurgery,"},{"name":"Research Center for Neurosurgical Robotic Systems, and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wonsoo","family":"Son","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery,"},{"name":"Research Center for Neurosurgical Robotic Systems, and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Youngseok","family":"Kwak","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery,"},{"name":"Research Center for Neurosurgical Robotic Systems, and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Boram","family":"Ohk","sequence":"additional","affiliation":[{"name":"Clinical Trial Center, Kyungpook National University, Daegu, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"b1","series-title":"Gynecol Oncol","doi-asserted-by":"publisher","first-page":"727","DOI":"10.1016\/j.ygyno.2015.07.013","article-title":"Improvement in quality of life after robotic surgery results in patient satisfaction","volume":"138","author":"Arms RG III","year":"2015","unstructured":"Arms RG III, Sun CC, Burzawa JK, Fleming ND, Nick AM, Rallapalli V, : Improvement in quality of life after robotic surgery results in patient satisfaction. 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