Supraorbital Craniotomy for Large Anterior Skull Base Meningiomas: A Technical Note
Autor: | Kiran Khanapure, Syed Aezaz Quryshi, Krishna C Joshi, Umesh Srikantha, Ravi Gopal Verma, Alankar S Hegde, Aniruddha Tekkatte Jagannatha, Parichay J. Perikal |
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Rok vydání: | 2019 |
Předmět: |
medicine.medical_specialty
business.industry supraorbital skull base Supraorbital craniotomy Cosmesis Technical note General Medicine Postoperative recovery 030218 nuclear medicine & medical imaging Retrospective data 03 medical and health sciences Skull 0302 clinical medicine medicine.anatomical_structure Brow craniotomy medicine otorhinolaryngologic diseases Original Article Radiology meningiomas business minimally-invasive 030217 neurology & neurosurgery Anterior skull base |
Zdroj: | Asian Journal of Neurosurgery |
ISSN: | 1793-5482 |
Popis: | 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. |
Databáze: | OpenAIRE |
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