Back to Search
Start Over
Extended Supraorbital Approach with Modified Eyebrow Incision: Technical Note.
- Source :
-
World Neurosurgery . Aug2019, Vol. 128, p354-359. 6p. - Publication Year :
- 2019
-
Abstract
- The extended supraorbital approach through a modified eyebrow incision is a minimally invasive variant of the frontotemporal or pterional approach that enriches a neurosurgeon's armamentarium for the treatment of pathologies lateral to the anterior clinoid process, by advancing laterally with frontal facial nerve branches monitoring. To demonstrate the steps of the approach, we studied 2 formalin-fixed and artery/vein silicone-injected adult cadaveric heads, and reviewed 1 of the 3 clinical cases operated on to illustrate the applicability of the approach. A 56-year-old woman presented with a history of seizures and a complaint of headache that started 2 months ago. She underwent an examination with brain magnetic resonance imaging that showed a dural-based lesion at the medial third of the lesser wing of sphenoid (which is consistent with meningioma). The patient underwent craniotomy with an extended supraorbital approach through a modified eyebrow incision that allowed Simpson grade II removal to be performed and good aesthetic outcome to be achieved. The extended supraorbital approach through a modified eyebrow incision is a minimally invasive approach that can add to a neurosurgeon's armamentarium and be used with microscopy, assisted by endoscope, or both to reach the anterior and middle cranial fossae. [ABSTRACT FROM AUTHOR]
- Subjects :
- *EYEBROWS
*FACIAL nerve
*MAGNETIC resonance imaging
Subjects
Details
- Language :
- English
- ISSN :
- 18788750
- Volume :
- 128
- Database :
- Academic Search Index
- Journal :
- World Neurosurgery
- Publication Type :
- Academic Journal
- Accession number :
- 137560608
- Full Text :
- https://doi.org/10.1016/j.wneu.2019.05.074