Introduction. The common surgical approach for standard temporal lobectomy is a question-mark skin incision and a frontotemporal\r\ncraniotomy. Herein, we describe minicraniotomy approach through a linear skin incision for standard temporal\r\nlobectomy. Methods. A retrospective observational cohort study was conducted for a group of consecutive 21 adult patients (group\r\nI) who underwent minicraniotomy for standard temporal lobectomy utilizing a linear skin incision. This group was compared\r\nto a consecutive 17 adult patients (group II) who previously underwent a reverse question-mark skin incision and standard\r\nfrontotemporal craniotomy. Results. The mean age was 29 and 23 for groups I and II, respectively.The mean estimated blood loss\r\nwas 190mL and 280mL in groups I and II, respectively (?? = 0.019). Three patients in group II developed chronic postcraniotomy\r\nheadache compared to none in group I.Cosmetic outcome was excellent in group Iwhile 4 patients in group II developed disfiguring\r\ndepression at lateral sphenoid wing and anterior temple. In group I 17 out of 21 became seizure-free at one-year followup. Conclusion.\r\nMinicraniotomy through a linear skin incision is a sufficient surgical approach for effective standard temporal lobectomy and it has\r\nan excellent cosmetic outcome.
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