Aesthetic issues in neurosurgery: A protocol to improve cosmetic outcome in cranial surgery

Alessandro Frati, Angelo Pichierri, Vincenzo Esposito, Riccardo Frati, Roberto Delfini, Giampaolo Cantore, Stefano Bastianello, Antonio Santoro

Research output: Contribution to journalArticlepeer-review


Nowadays, surgical interventions must treat with care the aesthetic impact on the patient, even when a malignant pathology or an patient's advanced age could give the aesthetic issue lower priority. The cranio-facial area is probably the most important anatomical region with regard to the harmony of the human body. Consequently, a step-by-step procedure, applicable regardless of the site and the nature of the lesion, is advisable to minimize the aesthetic impact. We prospectively analyzed 65 patients during a period of 2 years. At 1-year follow-up, all patients were invited to undergo a 3D-multislice CT and to complete a questionnaire with a subjective rating scale about aesthetic impact. The 3D-multislice CT scan didn't show dislocations, depressions or gaps of the bone flap. Nevertheless, five patients complained of some degree of aesthetic injury, or reported a psychological suffering from the aesthetic consequences of surgery. As a control group, we retrospectively reviewed 223 patients. The authors describe their surgical protocol and discuss it in the light of the results of their series.

Original languageEnglish
Pages (from-to)69-76
Number of pages8
JournalNeurosurgical Review
Issue number1
Publication statusPublished - Jan 2007


  • Aesthetic impact
  • Neuronavigation
  • Neurosurgery
  • Temporal muscle
  • Titanium plates

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery


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