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Acta Neurochirurgica

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01-08-2019 | Craniotomy | How I Do it - Pituitaries

Supraorbital keyhole approach for suprasellar arachnoid cyst: how I do it

Authors: A. Venier, M. Reinert, T. Robert

Published in: Acta Neurochirurgica | Issue 8/2019

Abstract

Background

Keyhole approaches have lately sparked strong interest because these approaches address skull base pathologies as reported by Eroglu et al. (World Neurosurg, 2019); Hickmann, Gaida, and Reisch (Acta Neurochir (Wien) 159:881–887, 2017); Jallo and Bognar (Neurosurgery, 2006); and Poblete et al. (J Neurosurg 122:1274–1282, 2015), minimizing brain retraction and improving cosmetic results. We describe the step-by-step surgical technique to drain a suprasellar arachnoid cyst by a supraorbital approach.

Method

The eyebrow incision is a direct route to expose the supraorbital corridor and even if it is smaller than a pterional approach, it permits to open the cisterns and to visualize neurovascular structures. The arachnoid cyst could be safely drained and a T-tube is placed.

Conclusion

This technique represents a suitable option for suprasellar arachnoid cyst, avoiding more extended and invasive approaches.

Available only for authorised users

Eroglu U, Shah K, Bozkurt M, Kahilogullari G, Yakar F, Dogan I, Ozgural O, Attar A, Unlu A, Caglar S, Cohen Gadol AA, Ugur HC (2019) Supraorbital keyhole approach: lessons learned from 106 operative cases. World Neurosurg doi:https://doi.org/10.1016/j.wneu.2018.12.188

Hickmann AK, Gaida BJ, Reisch R (2017) How I do it: the expanded trans/supraorbital approach for large space-occupying lesions of the anterior fossa. Acta Neurochir 159:881–887. https://doi.org/10.1007/s00701-017-3082-7 CrossRefPubMed

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Zumofen DW, Rychen J, Roethlisberger M, Taub E, Kalbermatten D, Nossek E, Potts M, Guzman R, Riina HA, Mariani L (2017) A review of the literature on the transciliary supraorbital keyhole approach. World Neurosurg 98:614–624. https://doi.org/10.1016/j.wneu.2016.10.110 CrossRefPubMed

Title: Supraorbital keyhole approach for suprasellar arachnoid cyst: how I do it
Authors: A. Venier
M. Reinert
T. Robert
Publication date: 01-08-2019
Publisher: Springer Vienna
Keywords: Craniotomy
Incision
Published in: Acta Neurochirurgica / Issue 8/2019
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI: https://doi.org/10.1007/s00701-019-03965-7

ACC 2024 Congress

Springer Medicine

Supraorbital keyhole approach for suprasellar arachnoid cyst: how I do it

Abstract

Background

Method

Conclusion

ACC 2024 Congress

Springer Medicine

Abstract

Background

Method

Conclusion

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