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With the horizontal strategy, the surgical area is wide, therefore the way of the horizontal ventricle is relatively easy. Having said that, the vertical strategy has got the advantageous asset of decreasing intraoperative bleeding and working time once the resection line of the radial fiber is short, and understanding the three-dimensional physiology is relatively simple. The horizontal approach is usually useful for atrophic lesions, whereas the straight method is actually for hypertrophic lesions.
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