J Neurol Surg B Skull Base 2014; 75 - p023
DOI: 10.1055/s-0034-1384172

Supraorbital Approach through Eyebrow Incision for Treating Tumors in the Anterior Cranial Fossa and Parasellar Region

I. S. Park 1
  • 1Catholic University of Korea, South Korea

Objectives: Keyhole surgery through supraorbital route with eyebrow incision is minimal-invasive technique for anterior cranial fossa pathology. Traditional method needs to remove supraorbital rim, resulting in postoperative ecchymosis around eye. The authors performed surgery without removal of supraorbital rim and want to introduce the surgical technique and results. Methods: Among the patients who were found to have the tumor in the anterior cranial fossa and parasellar area, nine patients were operated by supraorbital approach. There are two tuberculum sellar meningiomas, three anterior skull base meningiomas, one parasellar cavernous hemangioma, one Rathke cleft cyst, one metastatic tumor, and one optic glioma. Skin incision was made along lateral two-thirds of eyebrow. Small size craniotomy was made just at the upper part of supraorbital rim. The opening size was 1.5 × 2.5 cm. The surgical results were studied retrospectively. Results: Gross-total removal was possible in all the patients. There was no surgical mortality and imaging study showed no surgical complication. All the patients showed excellent outcome (modified Rankin score 0-1). The average postoperative hospital day was 9.6days except one patient. All patients were satisfied with the cosmetic results. Conclusion: Minimal-invasive approach through eyebrow incision can achieve same results like conventional craniotomy in selected case. Supraorbital rim removal is not an obligation during this procedure.