Middle meningeal artery identification in patients undergone pterional craniotomy Preservation of middle meningeal artery during pterional craniotomy Bleeding from middle meningeal artery during pterional craniotomy Blood loss during craniotomy MMA, Sphenoparietal keyhole, Maccarty keyhole
Conditions
Interventions
use standard MacCarty keyhole as the location of key burr hole prior to craniotomy procedure. The location of MacCarty keyhole is identified as fronto-sphenoidal suture 1 cm posterior to the frontozyg
Experimental Procedure/Surgery,Experimental Procedure/Surgery
MacCarty keyhole,Spheno-parietal keyhole
Sponsors
Department of Surgery, Faculty of Medicine Ramathibodi Hospital, Mahidol University
Eligibility
Sex/Gender
All
Age
18 Years to 100 Years
Inclusion criteria
Inclusion criteria: 1) patients undergoing fronto-parietal craniotomy surgery 2) patients willing to sign the consent form
Exclusion criteria
Exclusion criteria: 1) Emergency cases 2) patients previously undergone fronto-parietal craniotomy 3) patients with intellectual disabilities 4) patients under the age of 18 5) patients with high suspicion for already-torn MMA prior to surgery 6) patients who withdraw from research
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Identification of middle meningeal artery immediately at surgical field observation intra-operatively by surgeon/observer | — |
Secondary
| Measure | Time frame |
|---|---|
| Preservation of middle meningeal artery immediately at surgical field observation intra-operatively by surgeon/observer,Modified Rankin scale of patient 3 months after surgery evaluation by clinician ,Operative blood loss immediately within operation estimation intra-operatively by anesthesiologist,Cosmetic problem after surgery 3 months after surgery observation by patient/clinician | — |
Countries
Thailand
Contacts
Public ContactAttaporn Boongird
Faculty of Medicine Ramathibodi Hospital
Outcome results
None listed