10 Keyhole Supraorbital Craniotomy: Eyelid and Eyebrow Approaches

Mao, Gordon; Aldahak, Nouman; Aziz, Khaled

doi:10.1007/978-3-319-64379-3_10

Cited by 1 publication

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“…In addition, to optimize bone flap repositioning, we use injectable bone substitute to fill the gaps around the flap after securing it with low-profile titanium plates. [11] Nonetheless, utilization of the upper eyelid crease was not new, nor unique. It was reported to be extensively used by oculoplastic surgeons in managing various pathologies since the year 2000.…”

Section: Discussionmentioning

confidence: 99%

The transpalpebral approach “eyelid incision” for surgical management of intracranial tumors: A 10-years’ experience

Elnokaly

Mao

Aziz

2020

Surgical Neurology International

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Background: The minimally invasive approaches to the anterior skull base region through fronto-orbital craniotomy remain a highly accepted option that gains countenance and predilection over time. The transpalpebral “eyelid” incision is an under-utilized and more recent technique that offers a safe efficient corridor to manage a wide variety of lesions. Methods: We carried a retrospective study of 44 patients operated on by the fronto-orbital craniotomy through transpalpebral “eyelid” incision for intracranial tumors, in the time period from March 2007 to July 2016. The results from surgeries were analyzed; extent of tumor resection, length of hospital stay, cosmetic outcome, and complications. Results: Out of the 44 intracranial tumor cases, we had 16 male and 28 female patients with median age 54 years. We had 19 anterior skull base lesions, 8 middle skull base lesions and 8 parasellar lesions. We also operated on four frontal intraparenchymal lesions and four other various lesions. Total resection was achieved in 32 cases (72.7%), with excellent cosmetic outcome in 43 cases (97.7%). Average hospital stay was 6 days. No major complications recorded. Three cases (6.8%) had complications that varied between pseudomeningocele, wound infections, and facial pain. Follow-up average period was 23.6 months. Conclusion: The fronto-orbital approach through eyelid incision remains a reliable approach to the skull base. It provides natural anatomical dissection planes through the eyelid incision and a fronto-orbital craniotomy, creating a wide surgical corridor to manage specific lesions with consistent surgical and cosmetic outcome.