Book chapter
Chapter 12 - Supraorbital Eyebrow Approach for Craniopharyngiomas
Craniopharyngiomas, pp.207-218
Elsevier Inc
2015
DOI: 10.1016/B978-0-12-416706-3.00012-X
Abstract
The supraorbital eyebrow approach is a modification of a classic approach that utilizes an eyebrow skin incision to fashion a supraorbital craniotomy for exposure of the subfrontal corridor. This provides anterolateral access to surgical lesions in the sella and suprasellar and parasellar regions and therefore, ideal for resection of craniopharyngiomas. The majority of craniopharyngiomas can be removed using this approach, however one must understand the limitations and the accessible and inaccessible areas with the approach. Craniopharyngiomas that have considerable extension superiorly and retrochiasmal craniopharyngiomas can make resection technically more difficult, however neuroendoscopy may augment resection in these cases. Neuroendoscopy is an essential adjunct to the approach that provides greater direct illumination with higher magnification in a deep operative field. With a 30-degree endoscope, an angled line of sight can be achieved that brings into view previously hidden regions and areas typically blocked by the standard microscope. The senior author has used the supraorbital keyhole approach in over 450 total cases including tumors, aneurysms, and trauma and including over 40 craniopharyngiomas. In no case was there a need for conversion to a largely craniotomy. This is a testament to the effectiveness of this approach in properly selected cases.
Details
- Title: Subtitle
- Chapter 12 - Supraorbital Eyebrow Approach for Craniopharyngiomas
- Creators
- Brian J Dlouhy - Department of Neurosurgery, University of Iowa Hospitals and Clinics, Iowa City, IA, USACharles Teo - Centre for Minimally Invasive Neurosurgery, Prince of Wales Hospital, Sydney, New South Wales, Australia
- Resource Type
- Book chapter
- Publication Details
- Craniopharyngiomas, pp.207-218
- DOI
- 10.1016/B978-0-12-416706-3.00012-X
- Publisher
- Elsevier Inc
- Language
- English
- Date published
- 2015
- Academic Unit
- Stead Family Department of Pediatrics; Iowa Neuroscience Institute; Neurosurgery
- Record Identifier
- 9984070455702771
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