{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T02:54:45Z","timestamp":1790736885687,"version":"4.1.0"},"reference-count":33,"publisher":"Korean Society of Cerebrovascular Surgeons\/Korean Society of Endovascular Surgery","issue":"3","license":[{"start":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T00:00:00Z","timestamp":1785369600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100002531","name":"Kyungpook National University","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100002531","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["the-jcen.org"],"crossmark-restriction":true},"short-container-title":["J Cerebrovasc Endovasc Neurosurg"],"published-print":{"date-parts":[[2026,9,30]]},"abstract":"<jats:p>Objective: This prospective study compared postoperative patient experience between the superciliary approach (supra-eyebrow incision) and the trans-scalp lateral supraorbital approach (scalp incision) for unruptured anterior circulation aneurysms.Methods: Patients (n=111) undergoing a superciliary or trans-scalp lateral supraorbital approach completed a six-item daily Visual Analogue Scale (VAS) symptom questionnaire (wound-related pain, generalized headache, depressed mood, fatigue, decreased appetite, and nausea) and underwent neurological examinations for 5 days postoperatively.Results: Surgical outcomes, including clip placement adequacy and complications, did not differ between groups. On postoperative day (POD) 5, the superciliary group reported significantly less wound-related pain (3.34 vs. 4.70, p=0.003), headache (3.54 vs. 5.16, p=0.001), depressed mood (2.33 vs. 3.44, p=0.018), fatigue (3.11 vs. 4.46, p=0.009), and decreased appetite (3.61 vs. 5.00, p= 0.007) than the trans-scalp group. Stepwise regression identified the trans-scalp approach as a dominant predictor of wound-related pain, headache, depressed mood, and fatigue. Significant mood depression (VAS \u22655) occurred in 10 patients (16.4%) in the superciliary group versus 17 (34.0%) in the trans-scalp group on POD 5, and depressed mood correlated significantly with fatigue, decreased appetite, nausea, and headache.Conclusions: The superciliary approach was associated with less postoperative pain and discomfort than the trans-scalp lateral supraorbital approach in the early period after successful aneurysm clipping. The trans-scalp approach was a dominant determinant of wound-related pain, headache, depressed mood, and fatigue, and depressed mood correlated with other postoperative symptoms in both groups.<\/jats:p>","DOI":"10.7461\/jcen.2026.e2026.06.005","type":"journal-article","created":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T01:57:35Z","timestamp":1785376655000},"page":"279-290","update-policy":"https:\/\/doi.org\/10.7461\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Postoperative patient experience following different minimally invasive surgical approaches for unruptured intracranial aneurysms: Superciliary approach versus trans-scalp lateral supraorbital approach"],"prefix":"10.7461","volume":"28","author":[{"given":"Myungsoo","family":"Kim","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, School of Medicine, Kyungpook National University, Daegu, 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