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ORIGINAL ARTICLE
Year : 2019  |  Volume : 14  |  Issue : 3  |  Page : 767-772

Supraorbital craniotomy for large anterior skull base meningiomas: A technical note


1 Department of Neurosurgery, Ramaiah Medical College, Bengaluru, Karnataka, India
2 Department of Neurosurgery, Ramaiah Medical College, Bengaluru, Karnataka, India; The Rose Ella Burkhardt Brain Tumor and Neuro-Oncology Center, Department of Neurosurgery, Neurological Institute, Cleveland Clinic Lerner College of Medicine, Cleveland, Ohio, USA
3 Department of Neurosurgery, Ramaiah Medical College; Department of Neurosurgery, Institute of Neurosciences, Aster Hospital, Bengaluru, Karnataka, India

Correspondence Address:
Krishna Chaitanya Joshi
The Rose Ella Burkhardt Brain Tumor and Neuro-Oncology Center, Department of Neurosurgery, Neurological Institute, Cleveland Clinic Lerner College of Medicine, Cleveland, Ohio 44106

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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ajns.AJNS_40_19

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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.


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