TY - JOUR
T1 - The supraorbital craniotomy for access to the skull base and intraaxial lesions
T2 - A technique in evolution
AU - Raza, S. M.
AU - Garzon-Muvdi, T.
AU - Boaehene, K.
AU - Olivi, A.
AU - Gallia, G.
AU - Lim, M.
AU - Subramanian, P.
AU - Quinones-Hinojosa, A.
PY - 2010/4/20
Y1 - 2010/4/20
N2 - Introduction: The supraorbital craniotomy was initially described as a minimally invasive means to target extra-axial lesions in the anterior cranial fossa and sellar/parasellar region. Since its initial description, various modifications have been described. We report our recent experience with this approach (and its modifications) for not only extra-axial but also intra-axial neoplastic pathology. Methods: Based on patient pathology and anatomic considerations, one of two approaches was performed: supraorbital craniotomy through an eyebrow incision or a combined orbital osteotomy and supraorbital craniotomy through an eyelid incision. Results: This technique was performed on twenty-eight consecutive patients. Intra-axial pathology ranged from anaplastic astrocytoma to metastasis while extra-axial lesions included meningiomas and skull-based metastases. Excellent lesion resection was achieved in the majority of patients. Complications were infection (2 patients) and CSF leak. Discussion: The supraorbital craniotomy and its modifications provide an ideal anterior subfrontal approach through which a wide variety of pathology can be approached. This technique has particular considerations in comparison to traditional cranial base approaches that must be taken into account before it is utilized.
AB - Introduction: The supraorbital craniotomy was initially described as a minimally invasive means to target extra-axial lesions in the anterior cranial fossa and sellar/parasellar region. Since its initial description, various modifications have been described. We report our recent experience with this approach (and its modifications) for not only extra-axial but also intra-axial neoplastic pathology. Methods: Based on patient pathology and anatomic considerations, one of two approaches was performed: supraorbital craniotomy through an eyebrow incision or a combined orbital osteotomy and supraorbital craniotomy through an eyelid incision. Results: This technique was performed on twenty-eight consecutive patients. Intra-axial pathology ranged from anaplastic astrocytoma to metastasis while extra-axial lesions included meningiomas and skull-based metastases. Excellent lesion resection was achieved in the majority of patients. Complications were infection (2 patients) and CSF leak. Discussion: The supraorbital craniotomy and its modifications provide an ideal anterior subfrontal approach through which a wide variety of pathology can be approached. This technique has particular considerations in comparison to traditional cranial base approaches that must be taken into account before it is utilized.
KW - Orbital ridge osteotomy
KW - Skull base
KW - Supraorbital approach
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U2 - 10.1055/s-0030-1247504
DO - 10.1055/s-0030-1247504
M3 - Article
C2 - 20376737
AN - SCOPUS:77950910208
SN - 0946-7211
VL - 53
SP - 1
EP - 8
JO - Minimally Invasive Neurosurgery
JF - Minimally Invasive Neurosurgery
IS - 1
ER -