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Acta Neurochirurgica
Published in: Acta Neurochirurgica 12/2014

01-12-2014 | Technical Note - Neurosurgical Techniques

Transglabellar approach for resection of anterior midline skull base meningiomas: technical note

Authors: Jean-Charles Kleiber, Segolene Roemer, Julien Duntze, Christophe Eap, Etienne Theret, Pascal Rousseaux, Fabien Litre

Published in: Acta Neurochirurgica | Issue 12/2014

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Abstract

Background

We describe our experience of minimally invasive approach of the anterior skull base through the transglabellar approach.

Method

The technical details of the transglabellar approach are described in this article as we have been using it for the past 3 years. After an inter-eyebrow skin incision, the scalp is elevated allowing the creation of a 3-cm bone flap in the frontal sinus, which gives direct access to the anterior midline skull base. Removal of the tumour is carried out without brain retraction. The closure requires obstruction of nasofrontal ducts and sinus mucosa removal.

Results

We operated on 24 patients using this approach. The tumour was completely removed in every case. We reported one case of meningitis and three cerebrospinal fluid leaks. Every patient was satisfied with the aesthetic results.

Conclusions

The transglabellar approach is a reasonably easy and efficient way to resect anterior midline skull base meningiomas.
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Metadata
Title
Transglabellar approach for resection of anterior midline skull base meningiomas: technical note
Authors
Jean-Charles Kleiber
Segolene Roemer
Julien Duntze
Christophe Eap
Etienne Theret
Pascal Rousseaux
Fabien Litre
Publication date
01-12-2014
Publisher
Springer Vienna
Published in
Acta Neurochirurgica / Issue 12/2014
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI
https://doi.org/10.1007/s00701-014-2223-5

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