Temporal lobectomy is the removal of a portion of the temporal lobe of the brain. It is the most common type of epilepsy surgery and is also the most successful type. Temporal lobectomy surgery has been recognized as an efficient treatment option for certain types of seizures in patients diagnosed with temporal lobe epilepsy (TLE). Characterized by transient disturbances of brain function and seizures, TLE is the most common form of epilepsy.
Procedure of Temporal Lobectomy
Using a scalpel blade, the neurosurgeon makes an incision in the skin and muscle of the temporal region of the head located on the side of the head above the ear, and pulls away the flap of scalp.
The neurosurgeon removes a section of bone (bone flap) from the skull and makes an incision through the protective membranes of the brain (dura) in order to expose the temporal lobe.
Using an operating microscope to enlarge the features of the surgical area, the neurosurgeon removes the temporal anterior lobe.
Once bleeding is under control, every layer of tissue cut or divided to reach the surgical site is closed.
The cavity is irrigated completely and the dura is closed in a watertight manner using tack-up sutures. The bone flap is returned into place. Muscle and tissues are closed with sutures, while the skin is closed with staples. No drain is needed.
Temporal lobectomy is optimal for patients with seizures that do not respond to medications, patients who are unable to tolerate medication side effects, or patients with seizures caused by structural abnormalities in the brain.
[ TEMPORAL LOBECTOMY ]
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