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Minim Invasive Neurosurg 2005; 48(5): 259-263
DOI: 10.1055/s-2005-915603
Original Article
© Georg Thieme Verlag Stuttgart · New York

The Supraorbital Approach: An Alternative to Traditional Exposure for the Surgical Management of Anterior Fossa and Parasellar Pathology

I.  Melamed1 , V.  Merkin1 , A.  Korn1 , M.  Nash2
  • 1Department of Neurosurgery, Soroka University Medical Center, Beer-Sheva, Israel
  • 2Department of Otolaryngology - Head & Neck Surgery, Soroka University Medical Center, Beer-Sheva, Israel
Further Information

Publication History

Publication Date:
01 December 2005 (online)

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Abstract

Object: The use of a supraorbital craniotomy as a minimally invasive neurosurgical technique to treat pathology located in the anterior cranial fossa and parasellar region is reported. Materials and Methods: 25 patients were operated upon using the supraorbital keyhole technique to expose various lesions located in the anterior skull base. Included were benign and malignant tumors, AVM, tuberculoma and trauma. Discussion and Conclusion: Utilizing small eyebrow incisions, a small supraorbital (“keyhole”) craniotomy, and microneurosurgical and/or endoscopically assisted access, allowed us to gain excellent optimal and safe exposure to a number of different pathologies of the anterior base and parasellar regions. The lesions were resected under complete control and with full preservation of surrounding neurovascular structures.

Key words

Skull base surgery - supraorbital - anterior fossa - parasellar

References

  • 1 Perneczky A, Muller-Forell W, Lindert E van, Fries G. Keyhole Concept in Neurosurgery. Stuttgart, New York: Thieme 1999
    Google Scholar
  • 2 Jho H-D, Alfieri A. Endoscopic glabellar approach to the anterior skull base: A technical note.  Minim Invas Neurosurg. 2002;  45 185-188
    Article in Thieme ConnectPubMedGoogle Scholar
  • 3 Fries G, Perneczky A. Contralateral and ipsilateral microsurgical approach to carotid-ophthalmic aneurysms.  Neurosurgery. 1997;  41 333-343
    CrossrefPubMedGoogle Scholar
  • 4 Lindert E, Perneczky A, Fries G, Pierangeli E. The supraorbital keyhole approach to supratentorial aneurysms: concept and technique.  Surg Neurol. 1998;  49 481-489; discussion: 489 - 490
    PubMedGoogle Scholar
  • 5 Perneczky A, Fries G. Endoscopic-assisted brain surgery: part 1 - evolution, basic concept, and current technique.  Neurosurgery. 1998;  42 219-225
    CrossrefPubMedGoogle Scholar
  • 6 Fries G, Perneczky A. Endoscopic-assisted brain surgery: part 2 - analysis of 380 procedures.  Neurosurgery. 1998;  42 226-232
    CrossrefPubMedGoogle Scholar
  • 7 Taniguchi M, Perneczky A. Subtemporal keyhole approach to the suprasellar and petroclival region: microanatomic considerations and clinical application.  Neurosurgery. 1997;  41 595-601
    PubMedGoogle Scholar

Israel Melamed,M. D. 

Department of Neurosurgery · Soroka University Medical Center

Box 151

Beer-Sheva

Israel, 84508

Phone: +972-8-640-3891

Fax: +972-8-640-3026

Email: melamed@clalit.org.il

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