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Acta Neurochirurgica

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01-05-2017 | How I Do it - Neurosurgical Techniques

How I do it: The expanded trans/supraorbital approach for large space-occupying lesions of the anterior fossa

Authors: Anne-Katrin Hickmann, Britta-Jacqueline Gaida, Robert Reisch

Published in: Acta Neurochirurgica | Issue 5/2017

Abstract

Background

The supraorbital rim often interferes with the required upward movement of the instruments for resection of large frontal-lobe tumours through a classic supraorbital craniotomy. Here, we present the expanded trans/supraorbital approach to overcome these limitations.

Methods

After an eyebrow skin incision, a one-piece bone flap was created incorporating the orbital rim and roof. Basal extension of the craniotomy allowed for a better intracranial visualisation with improved manoeuvrability and angulation of the instruments without using brain retraction.

Conclusions

This approach poses a feasible alternative to large frontal craniotomies for frontal-lobe tumours, for which a regular supraorbital craniotomy is insufficient.

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Title: How I do it: The expanded trans/supraorbital approach for large space-occupying lesions of the anterior fossa
Authors: Anne-Katrin Hickmann
Britta-Jacqueline Gaida
Robert Reisch
Publication date: 01-05-2017
Publisher: Springer Vienna
Published in: Acta Neurochirurgica / Issue 5/2017
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI: https://doi.org/10.1007/s00701-017-3082-7

At a glance: The STEP trials

Springer Medicine

How I do it: The expanded trans/supraorbital approach for large space-occupying lesions of the anterior fossa

Abstract

Background

Methods

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Methods

Conclusions

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