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

被引:2
作者
Venier, A. [1 ]
Reinert, M. [1 ]
Robert, T. [1 ]
机构
[1] Osped Civ Lugano, Reg Hosp Lugano, Neuroctr Southern Switzerland, Dept Neurosurg, Via Tesserete 46, CH-6900 Lugano, Ticino, Switzerland
关键词
Supraorbital approach; Eyebrow incision; Minimally invasive technique; Suprasellar cyst; CRANIOTOMY;
D O I
10.1007/s00701-019-03965-7
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
BackgroundKeyhole 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.MethodThe 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.ConclusionThis technique represents a suitable option for suprasellar arachnoid cyst, avoiding more extended and invasive approaches.
引用
收藏
页码:1709 / 1713
页数:5
相关论文
共 9 条
[1]   Supraorbital Keyhole Approach: Lessons Learned from 106 Operative Cases [J].
Eroglu, Umit ;
Shah, Kushal ;
Bozkurt, Melih ;
Kahilogullari, Gokmen ;
Yakar, Fatih ;
Dogan, Ihsan ;
Ozgural, Onur ;
Attar, Ayhan ;
Unlu, Agahan ;
Caglar, Sukrud ;
Gadol, Aaron A. Cohen ;
Ugur, Hasan Caglar .
WORLD NEUROSURGERY, 2019, 124 :E667-E674
[2]   How I do it: The expanded trans/supraorbital approach for large space-occupying lesions of the anterior fossa [J].
Hickmann, Anne-Katrin ;
Gaida, Britta-Jacqueline ;
Reisch, Robert .
ACTA NEUROCHIRURGICA, 2017, 159 (05) :881-887
[3]  
Jallo GI, 2006, NEUROSURGERY, V59, P157
[4]   Preservation of the nerves to the frontalis muscle during pterional craniotomy [J].
Poblete, Tomas ;
Jiang, Xiaochun ;
Komune, Noritaka ;
Matsushima, Ken ;
Rhoton, Albert L., Jr. .
JOURNAL OF NEUROSURGERY, 2015, 122 (06) :1274-1282
[5]   Surgical technique of the supraorbital key-hole craniotomy [J].
Reisch, R ;
Perneczky, A ;
Filippi, R .
SURGICAL NEUROLOGY, 2003, 59 (03) :223-227
[6]   The supraorbital keyhole approach: how I do it [J].
Reisch, Robert ;
Marcus, Hani J. ;
Kockro, Ralf A. ;
Ulrich, Nils H. .
ACTA NEUROCHIRURGICA, 2015, 157 (06) :979-983
[7]   Patients' cosmetic satisfaction, pain, and functional outcomes after supraorbital craniotomy through an eyebrow incision [J].
Reisch, Robert ;
Marcus, Hani J. ;
Hugelshofer, Michael ;
Koechlin, Nicolas Olmo ;
Stadie, Axel ;
Kockro, Ralf A. .
JOURNAL OF NEUROSURGERY, 2014, 121 (03) :730-734
[8]   Refined and Simplified Surgical Landmarks for the MacCarty Keyhole and Orbitozygomatic Craniotomy [J].
Tubbs, R. Shane ;
Loukas, Marios ;
Shoja, M. M. ;
Cohen-Gadol, Aaron A. .
NEUROSURGERY, 2010, 66 (06) :ONS230-ONS233
[9]   A Review of the Literature on the Transciliary Supraorbital Keyhole Approach [J].
Zumofen, Daniel Walter ;
Rychen, Jonathan ;
Roethlisberger, Michel ;
Taub, Ethan ;
Kalbermatten, Daniel ;
Nossek, Erez ;
Potts, Matthew ;
Guzman, Raphael ;
Riina, Howard Antony ;
Mariani, Luigi .
WORLD NEUROSURGERY, 2017, 98 :614-624