Supraorbital Craniotomy for Large Anterior Skull Base Meningiomas: A Technical Note.

Autor: Khanapure K; Department of Neurosurgery, Ramaiah Medical College, Bengaluru, Karnataka, India., Joshi KC; Department of Neurosurgery, Ramaiah Medical College, Bengaluru, Karnataka, India.; The Rose Ella Burkhardt Brain Tumor and Neuro-Oncology Center, Department of Neurosurgery, Neurological Institute, Cleveland Clinic Lerner College of Medicine, Cleveland, Ohio, USA., Jagannatha AT; Department of Neurosurgery, Ramaiah Medical College, Bengaluru, Karnataka, India., Perikal PJ; Department of Neurosurgery, Ramaiah Medical College, Bengaluru, Karnataka, India., Quryshi SA; Department of Neurosurgery, Ramaiah Medical College, Bengaluru, Karnataka, India., Srikantha U; Department of Neurosurgery, Ramaiah Medical College, Bengaluru, Karnataka, India.; Department of Neurosurgery, Institute of Neurosciences, Aster Hospital, Bengaluru, Karnataka, India., Verma RG; Department of Neurosurgery, Ramaiah Medical College, Bengaluru, Karnataka, India.; Department of Neurosurgery, Institute of Neurosciences, Aster Hospital, Bengaluru, Karnataka, India., Hegde AS; Department of Neurosurgery, Ramaiah Medical College, Bengaluru, Karnataka, India.
Jazyk: angličtina
Zdroj: Asian journal of neurosurgery [Asian J Neurosurg] 2019 Jul-Sep; Vol. 14 (3), pp. 767-772.
DOI: 10.4103/ajns.AJNS_40_19
Abstrakt: Background: Supraorbital craniotomy (SOC) has brought a paradigm shift in approaching anterior skull base lesions. With better understanding of relevant anatomy, the indications are being stretched from highly selected, small-to-moderate-sized tumors to large and complex anterior skull base lesions.
Objective: We share our experience and discuss the nuances of surgery for large anterior skull base meningiomas using the SOC.
Methods: This is a single institute study using prospectively collected retrospective data from seven cases of large anterior skull base meningiomas (>3 cm) using the SOC. We reviewed the indications, safety, and procedural complications in these cases.
Results: Simpson's Grade 2 excision was achieved in all these seven cases, with faster postoperative recovery. Follow-up clinical outcome and cosmesis were satisfactory.
Conclusion: SOC is a safe alternative for the standard skull base approaches in treating large anterior skull base meningiomas. The SOC can be effectively used to treat selected large anterior skull base meningiomas.
Competing Interests: There are no conflicts of interest.
Databáze: MEDLINE
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