Tailored Anterior Clinoidectomy Through the Lateral Supraorbital Approach: Experience with 82 Consecutive Patients

Romani, Rossana; Elsharkawy, Ahmed; Laakso, Aki; Kangasniemi, Marko; Hernesniemi, Juha

doi:10.1016/j.wneu.2011.07.018

Cited by 25 publications

(29 citation statements)

References 30 publications

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“…Thus, limited extent of bone removal in anterior clinoidectomies is a valid consideration. Romani et al [19] recently proposed a partial removal, which started from the tip of the ACP and was limited to 1/3 or 2/3 of the entire process. However, the benefits of partial anterior clinoidectomy in terms of rhinorrhoea reduction, as well as the technique in partial ACP removal of its lateral aspect, have not been described in the literature to date.…”

Section: Anterior Clinoidectomymentioning

confidence: 99%

The pneumatisation of anterior clinoid process is not associated with any predictors that might be recognised preoperatively

Szmuda

Słoniewski²,

Baczalska³

et al. 2013

Folia Morphol

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Section: Anterior Clinoidectomymentioning

confidence: 99%

The pneumatisation of anterior clinoid process is not associated with any predictors that might be recognised preoperatively

Szmuda

Słoniewski²,

Baczalska³

et al. 2013

Folia Morphol

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“…The classic LSO approach has been described in detail in Hernesniemi’s reports [7]. In the present study, it was applied in 17 cases (74%).…”

Section: Methodsmentioning

confidence: 90%

“…In larger tumors or giant aneurysms involving the medial sphenoid wing, the LSO approach can be modified with a 1 cm temporal extension to fully visualize the Sylvian fissure with its temporal portion [6]. The LSO approach is less traumatic, much faster, and simpler than the classic pterional approach and allows the surgeon to easily reach the sellar region [7]. The orbitozygomatic approach, also widely used and described in the context of sellar surgery in the literature [19] is, in our opinion, even more traumatic than the pterional one and needlessly extensive.…”

Section: Discussionmentioning

confidence: 99%

“…Hernesniemi et al . propose this approach to operate on intracranial lesions located in the sellar and suprasellar regions, in the Sylvian fissure, and in the retrosellar regions such as the superior part of the basilar artery and the interpeduncular fossa [6,7]. This modified technique has the advantages of requiring a short skin incision that does not reach the front of the ear, unlike the incision when using the standard pterional approach, thus causing less trauma to the temporalis muscle.…”

Section: Introductionmentioning

confidence: 99%

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Lateral supraorbital approach applied to sellar tumors in 23 consecutive patients: the Suzhou experience from China

Chen

Dai

2013

World J Surg Onc

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BackgroundPituitary adenoma, craniopharyngioma and meningioma are common sellar lesions, accounting for more than 90% of sellar tumors. The aim of this study is to assess the reliability and safety of the lateral supraorbital (LSO) approach to remove sellar tumors.MethodsBetween June 2011 and December 2011, 23 patients with neoplastic lesions underwent surgery by the corresponding author (ZW) via the LSO approach. The clinical presentations, neuroradiological findings, microsurgical techniques, and outcome at discharge of these patients were analyzed. In addition, the clinical series in the available literature written in English were also extensively reviewed. Eleven (48%) patients were treated for pituitary adenoma; six (26%) patients for tuberculum sellae meningioma; and six (26%) patients for craniopharyngioma.ResultsSeemingly complete tumor removal was achieved in 21 patients (91%); surgical mortality was one patient (4.3%). Postoperatively, no patient had developed cerebrospinal fluid leakage or new visual deficits. One (4%) patient had intracranial infection, and one (4%) had a postoperative hematoma. The median Karnofsky score at discharge was 87.4 (range, 0 to 100). The Glasgow outcome scale at discharge was 4.6 (range, 1 to 5). Of all, 21 (91.3%) patients achieved favorable outcomes.ConclusionSellar tumors can be removed via the LSO approach with relatively low morbidity and mortality. Surgical results with this fast and simple approach are similar to those obtained with more extensive, complex, and time-consuming approaches.

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“…ACP's anatomical location is important for its relation with neighboring structures including optic nerves, internal carotid artery (ICA), and other neurovascular structures 7). Anterior clinoidectomy (AC) is an essential technique that is of utmost importance for clipping aneurysms involving the paraclinoid region.…”

Section: Introductionmentioning

confidence: 99%

The Pterional Approach and Extradural Anterior Clinoidectomy to Clip Paraclinoid Aneurysms

Kim

Lee

Jeon

et al. 2013

J Cerebrovasc Endovasc Neurosurg

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ObjectiveThe surgical clipping of paraclinoid segment internal carotid artery aneurysms is considered difficult because of the complex anatomical location and important neighboring structures. Our experiences of pterional craniotomy and extradural anterior clinoidectomy (EAC) to clip paraclinoid aneurysms are reported herein.MethodsWe present two patients with paraclinoid aneurysms who underwent surgical clipping using pterional craniotomy and EAC. The clinical results and operative techniques were reviewed from the patients' medical records.ResultsEAC improves the surgical field in the suprasellar and periclinoid regions. Clinically, a good outcome was obtained in both cases. No surgical complications directly resulting from the EAC were observed.ConclusionFavorable surgical results can be obtained with pterional craniotomy and EAC for the clipping of paraclinoid aneurysms. EAC is advocated for the clipping of paraclinoid aneurysms.

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Tailored Anterior Clinoidectomy Through the Lateral Supraorbital Approach: Experience with 82 Consecutive Patients

Cited by 25 publications

References 30 publications

The pneumatisation of anterior clinoid process is not associated with any predictors that might be recognised preoperatively

The pneumatisation of anterior clinoid process is not associated with any predictors that might be recognised preoperatively

Lateral supraorbital approach applied to sellar tumors in 23 consecutive patients: the Suzhou experience from China

The Pterional Approach and Extradural Anterior Clinoidectomy to Clip Paraclinoid Aneurysms

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