Micromirrors in Neurosurgery: Technical Overview and Benefits Assessment.
Turk Neurosurg
; 33(2): 352-361, 2023.
Article
in En
| MEDLINE
| ID: mdl-36799277
ABSTRACT
AIM:
To weight the benefits and limitations of intraoperative use of micromirrors in neurosurgery. MATERIAL ANDMETHODS:
Surgical cases where micromirrors were employed were retrospectively selected from the surgical database of five different surgeons in different hospitals. Complications directly attributable to the micromirrors were assessed intraoperatively and confirmed with postoperative neuroimaging studies.RESULTS:
Fourteen patients were selected. The site of the lesion was as follows posterior fossa (43%), frontal lobe (22%), temporal lobe (14%), parietal lobe (7%), insula (7%), and basal ganglia (7%). Five tumors (35%) were gliomas, 3 (21%) epidermoid, and 3 (21 %) supratentorial metastases. Two patients underwent microvascular decompression for neurovascular conflict, and 1 harbored a brain arteriovenous malformation. A gross total resection was achieved in all the tumors and the AVM, while an effective decompression was successfully performed in both patients with conflict. No complications directly attributable to the use of the micromirror occurred. A relatively easy learning curve was noted.CONCLUSION:
Micromirrors proved to be useful in enhancing the visualization of neurovascular structures and pathology residuals within deep-seated surgical fields without the need for fixed brain retraction. Their cost-effectiveness and easy learning curve constitute solid reasons for advocating a revitalization of this ?old but gold? tool in neurosurgery.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Arteriovenous Malformations
/
Neurosurgery
Type of study:
Observational_studies
Limits:
Humans
Language:
En
Journal:
Turk Neurosurg
Journal subject:
NEUROCIRURGIA
Year:
2023
Type:
Article
Affiliation country:
Colombia