Bifrontal craniotomy

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Bifrontal Craniotomy is used as an approach to pathologies in the anterior cranial fossa. This approach also provides access to pathologies extending dorsally into the suprasellar region or into the nasal cavities.

Applications

Bifrontal craniotomy is used particularly for tumors as well as cerebrospinal fluid fistulas in the anterior cranial fossa[^1] [^2].

Positioning

For optimal positioning, the patient should be placed supine with the head extended by approximately 15° and without lateral rotation, with the head secured in the Mayfield head holder[^1].

Skin incision

Typically, a bifrontal skin incision is made, extending from Tragus to tragus and located directly behind the hairline. The Galea aponeurotica and Temporalis muscle should remain intact so that they can later be used for Duraplasty[^1].

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Edit · Alaric Steinmetz ·

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Edit · Alaric Steinmetz · (+13 −13)
  • Text changed: “The bifrontal Craniotomy is used as an approach to pathologies in the anterior cranial fossa. This approach also provides access to pathologies extending dorsally into the suprasellar region or into the nasal cavities.”“Bifrontal Craniotomy is used as an approach to pathologies in the anterior cranial fossa. This approach also provides access to pathologies extending dorsally into the suprasellar region or into the nasal cavities.”
  • Text changed: “Indications”“Applications”
  • Text changed: “Bifrontal craniotomy is used particularly for tumors as well as CSF fistulas in the anterior cranial fossa [^1] [^2].”“Bifrontal craniotomy is used particularly for tumors as well as cerebrospinal fluid fistulas in the anterior cranial fossa [^1] [^2].”
  • Text changed: “For optimal positioning, the patient should be placed supine with approximately 15° of head extension, without lateral rotation, with the head secured in the Mayfield head holder [^1].”“For optimal positioning, the patient should be placed supine with the head extended by approximately 15° and without lateral rotation, with the head secured in the Mayfield head holder [^1].”
  • Text changed: “Skin Incision”“Skin incision”
  • Text changed: “Typically, a bifrontal skin incision is made, extending from tragus to tragus and located directly behind the hairline. The galea aponeurotica and temporalis muscle should remain intact so that they can later be used for duraplasty [^1].”“Typically, a bifrontal skin incision is made, extending from Tragus to tragus and located directly behind the hairline. The Galea aponeurotica and Temporalis muscle should remain intact so that they can later be used for Duraplasty [^1].”
Edit · Alaric Steinmetz ·

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