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Acta neurochirurgica · Oct 2011
ReviewThe fully endoscopic supraorbital trans-eyebrow keyhole approach to the anterior and middle skull base.
- Moncef Berhouma, Timothée Jacquesson, and Emmanuel Jouanneau.
- Skull Base Surgery Unit, Department of Neurosurgery A, Pierre Wertheimer Hospital, Hospices Civils de Lyon, Claude Bernard University, Lyon, France.
- Acta Neurochir (Wien). 2011 Oct 1;153(10):1949-54.
BackgroundThe purely endoscopic eyebrow supraorbital approach is an alternative to both the endoscopic endonasal and eyebrow microsurgical routes to the anterior and middle cranial base. It combines an enhanced visualization provided by the endoscope and the absence of cerebrospinal fluid (CSF) leaks and nasal complications.MethodsA trans-eyebrow 2-cm craniotomy is designed to allow the placement of a straight endoscope and visualize the skull base from the cribriform plate to the mesiotemporal lobe.ResultVisualization is considerably improved, while the keyhole mini-invasive concept is respected.ConclusionThe purely endoscopic eyebrow supraorbital keyhole approach is a valuable and alternative minimally invasive route to anterior and middle skull base lesions.
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