Supraorbital craniotomy for parasellar lesions

Balasingam, Vijayabalan; McMenomey, Sean O.; Delashaw, Johnny B.

doi:10.3171/jns.2005.102.5.0951

Cited by 15 publications

(7 citation statements)

References 19 publications

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“…In general, supraorbital approaches lack the lateral angle of attack that a transsylvian exposure affords, and are limited in accessing suprasellar lesions that extend lateral to the ipsilateral oculomotor nerve. 48 An orbitozygomatic approach can, therefore, combine the advantages of both supraorbital and lateral transsylvian routes. 4 …”

Section: Transcranial Approaches For Tuberculum Sellae Meningiomasmentioning

confidence: 99%

“…In the microneurosurgical era, numerous reports have been published on using a unilateral or bilateral subfrontal, bifrontal interhemispheric, supraorbital, eyebrow keyhole supraorbital, frontolateral, frontotemporal/pterional, orbitopterional, or orbitozygomatic approach. 5,23,27,29,34,[46][47][48][49]55 In a meta-analysis of modern transcranial microsurgical series by de Divitiis et al, 16 total resection was achieved in 90% with visual improvement in 59% and visual preservation in 30%. The mortality rate was 2.8%.…”

Section: Transcranial Approaches For Tuberculum Sellae Meningiomasmentioning

confidence: 99%

“…56 Various transcranial surgical approaches to remove tuberculum sellae meningiomas include unilateral or bilateral subfrontal, bifrontal interhemispheric, supraorbital, eyebrow keyhole supraorbital, frontolateral, frontotemporal/pterional, orbitopterional, and orbitozygomatic approaches. 3,5,11,23,24,29,36,43,[46][47][48][49][50]55 More recently, there has been interest in endonasal extended transsphenoidal approaches (microscopic, microscopic with endoscopic assistance, and purely endoscopic) to remove tuberculum sellae meningiomas. 7,8,12,13,15,16,21,25,31,32,35,37,58,59 The purely endoscopic endonasal extended transsphenoidal route via a transplanum transtuberculum corridor offers direct and immediate exposure to the tumor without having to apply brain retraction and manipulation of neurovascular structures.…”

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confidence: 99%

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Surgical nuances for removal of tuberculum sellae meningiomas with optic canal involvement using the endoscopic endonasal extended transsphenoidal transplanum transtuberculum approach

Liu¹,

Christiano²,

Patel³

et al. 2011

FOC

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Tuberculum sellae meningiomas frequently extend into the optic canals. Radical tumor resection including the involved dural attachment, underlying hyperostotic bone, and intracanalicular tumor in the optic canal offers the best chance of a Simpson Grade I resection to minimize recurrence. Decompression of the optic canal with removal of the intracanalicular tumor also improves visual outcome since this portion of the tumor is usually the cause of asymmetrical visual loss. The purely endoscopic endonasal extended transsphenoidal approach offers a direct midline trajectory and immediate access to tuberculum sellae meningiomas without brain retraction and manipulation of neurovascular structures. Although the endoscopic approach has been previously criticized for its inability to remove tumor within the optic canals, complete Simpson Grade I tumor removal including intracanalicular tumor, dural attachment, and involved hyperostotic bone can be achieved in properly selected patients. Excellent visualization of the suprasellar region and the inferomedial aspects of both optic canals allows for extracapsular, extraarachnoid dissection of the tumor from the critical structures using bimanual microsurgical dissection. In this report, the authors describe the operative nuances for removal of tuberculum sellae meningiomas with optic canal involvement using a purely endoscopic endonasal extended transsphenoidal (transplanum transtuberculum) approach. They specifically highlight the technique for endonasal bilateral optic nerve decompression and removal of intracanalicular tumor to improve postoperative visual function, as demonstrated in 2 illustrative cases. Special attention is also given to cranial base reconstruction to prevent CSF leakage using the vascularized pedicled nasoseptal flap.

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Section: Transcranial Approaches For Tuberculum Sellae Meningiomasmentioning

confidence: 99%

Section: Transcranial Approaches For Tuberculum Sellae Meningiomasmentioning

confidence: 99%

mentioning

confidence: 99%

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Surgical nuances for removal of tuberculum sellae meningiomas with optic canal involvement using the endoscopic endonasal extended transsphenoidal transplanum transtuberculum approach

Liu¹,

Christiano²,

Patel³

et al. 2011

FOC

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“…Супраорбитальный трансбровный доступ (СТД) -минимально травматичный доступ, который дает хороший обзор анатомических структур хиазмально-селлярной области (ХСО) и передней черепной ямки (ПЧЯ) и позволяет адекватно выполнять хирургические манипуляции в этих областях. Он является аналогом стандартного супраорбитального доступа, отличаясь от последнего меньшим размером трепанационного окна и меньшей травмой мягких тканей [18][19][20][21][22].…”

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A supraorbital trans-eyebrow approach in surgery of chiasmatic-sellar and anterior cranial fossa tumors

Alekseev¹,

Pichugin²,

Danilov³

2017

Vopr. neirokhir.

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“…One could imagine such an approach lending itself to the use of the DaVinci robot, which also requires multiple ports of access. However, the utility of the endonasal and transcranial approaches alone or in combination have already been demonstrated (1)(2)(3)(4)(5)(6)(7)(8)(9). The novelty of this paper lies in the additional evaluation of the less well-described precaruncular transorbital approach.…”

mentioning

confidence: 99%