Türk Nöroşirürji Dergisi 2021 , Vol 31 , Num 2
The Evolution of Cerebral Aneurysm Surgery
1Harran Üniversitesi Tıp Fakültesi, Beyin ve Sinir Cerrahisi Anabilim Dalı, Şanlıurfa, Türkiye The surgical treatment of cerebral aneurysms with clips has been the gold standard since its first application. Pterional craniotomy has been the main approach to aneurysm surgery since it entered neurosurgical practice. Subsequently, alternative interventions such as supraorbital, lateral supraorbital, and minipterional have entered neurosurgical practice thanks to the surgical experience and knowledge obtained through the pterional interventions. An attempt has been made to obtain a wider view angle by thinning the wall with a drill or removing it in order to eliminate the obstacle created by the superior orbital wall. In all of the mentioned approaches, the brain basal section was reached after an exocranial craniotomy flap. In the lateral transorbital approach or lateral orbito-zygomo-sphenotomy procedure, the working area and viewpoint is based on the principle of moving into the orbita, which is a natural space, after lateral orbitotomy. The approaches have evolved to become even less invasive, moving closer to the orbit over time, without compromising safety. Anahtar Kelimeler : Lateral orbitotomy, Aneurysm surgery, Minimal invasive surgery