Table of Contents
ISRN Neurology
Volume 2014, Article ID 532523, 7 pages
http://dx.doi.org/10.1155/2014/532523
Clinical Study

Minicraniotomy for Standard Temporal Lobectomy: A Minimally Invasive Surgical Approach

1Division of Neurosurgery, Neuroscience Department, King Faisal Specialist Hospital and Research Center, P.O. Box 3354, Riyadh 11211, Saudi Arabia
2College of Nursing, King Saud University, Riyadh, Saudi Arabia
3Division of Neurosurgery, King Abdulaziz University, Jeddah, Saudi Arabia

Received 5 November 2013; Accepted 29 December 2013; Published 6 February 2014

Academic Editors: C.-Y. Hsu and N. Rainov

Copyright © 2014 Faisal Al-Otaibi et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Introduction. The common surgical approach for standard temporal lobectomy is a question-mark skin incision and a frontotemporal craniotomy. Herein, we describe minicraniotomy approach through a linear skin incision for standard temporal lobectomy. Methods. A retrospective observational cohort study was conducted for a group of consecutive 21 adult patients (group I) who underwent minicraniotomy for standard temporal lobectomy utilizing a linear skin incision. This group was compared to a consecutive 17 adult patients (group II) who previously underwent a reverse question-mark skin incision and standard frontotemporal craniotomy. Results. The mean age was 29 and 23 for groups I and II, respectively. The mean estimated blood loss was 190 mL and 280 mL in groups I and II, respectively ( ). Three patients in group II developed chronic postcraniotomy headache compared to none in group I. Cosmetic outcome was excellent in group I while 4 patients in group II developed disfiguring depression at lateral sphenoid wing and anterior temple. In group I 17 out of 21 became seizure-free at one-year followup. Conclusion. Minicraniotomy through a linear skin incision is a sufficient surgical approach for effective standard temporal lobectomy and it has an excellent cosmetic outcome.