The Supraorbital Endoscopic Approach for Tumors

Available online 5 February 2013
Publication year: 2013
Source:World Neurosurgery

The supraorbital eyebrow craniotomy provides minimally invasive access to a wide range of frontal fossa, parasellar and some middle and posterior fossae tumors. This approach is considered ideal for removal of many, if not most, planum and tuberculum sellae meningiomas, some olfactory groove meningiomas, as well as suprasellar craniopharyngiomas, particularly those with far lateral extensions. It is also ideal for many intra-axial tumors including metastases and gliomas arising from the orbito-frontal, frontal pole and medial temporal lobe regions. The use of endoscopy further extends the range and versatility of this keyhole approach and is considered an essential adjunct for allowing safe and maximal tumor removal. Herein we describe the indications, technical nuances and complication avoidance techniques for the supraorbital keyhole approach with endoscopic assistance.

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Júlio Leonardo B. Pereira

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