Publicación Oficial de la Sociedad Ecuatoriana de Neurología, de la Liga Ecuatoriana Contra la Epilepsia y de la Sociedad Iberoamericana de Enfermedad Cerebrovascular

Subfrontal key-hole approach

 

De la Trepanación al Abordaje Subfrontal: Saltos Temporales de una Evolución Histórica del Desarrollo de la Intervención Quirúrgica Frontocerebral en la Medicina Iberoamericana. From Trepanation To The Subfrontal Approach: Temporal Leaps In The Historical Evolution Of Frontocerebral Surgical Intervention In Ibero-American Medicine

Exactly 20 years ago, Dr. Boris Zurita-Cueva published in this journal an article entitled “The Subfrontal Approach: Is It Really Minimally Invasive?”, the reading of which prompted us to recall and write about how medicine has evolved in its surgical intervention techniques over the years.

Although Zurita-Cueva’s work¹ refers to Krause’s description from 1908, it is worth highlighting that the technique originated from trepanations—one of the oldest examples of surgical procedures—practiced since the Neolithic period in a large number of primitive cultures spread across five continents

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El Abordaje Subfrontal: Es en realidad Minimamente Invasivo?

Subfrontal key-hole approach has been considered more traumatic to the brain than the traditional pterional approach. We describe some technical tips and make recommendations to choose this approach to some specific target areas. We conclude that the subfrontal key-hole is as minimally invasive as the pterional approach if it is performed in the correct settings.

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