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Acta neurochirurgica · Jun 2009
The supraorbital approach--a minimally invasive approach to the superior orbit.
- Werner Hassler and Uta Schick.
- Neurosurgery, Wedau Kliniken, Duisburg, Germany.
- Acta Neurochir (Wien). 2009 Jun 1; 151 (6): 605-11; discussion 611-2.
BackgroundWe present a minimally invasive approach to the superior orbit via an eyebrow incision with a small osteotomy, minimal orbital rim resection and small frontal craniotomy.MethodsThis approach was used in 20 patients with a well-defined intra-and extraconal lesion superior to the optic nerve, who underwent surgery between 2000 and 2007.ResultsThis approach is purely extradural with minimal brain and orbital retraction. The size of the lesion was not a limiting factor. Sensory deficits in the territory of the supraorbital nerve resolved within 7 months on average.ConclusionThis approach presents a combination of an extra-and transcranial approach, which is indicated in all orbital lesions superior to the optic nerve. The clinical and cosmetic results are excellent.
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