Arun Reddy Marathi¹*, Boyina Jagadeshwar Rajesh² and Kartik Manoj Multani³

¹Senior Resident, Department of Neurosurgery, Yashoda Hospital, Secunderabad, India
²Senior Consultant, Department of Neurosurgery, Yashoda Hospitals, Secunderabad, India
³Resident, Department of Neurosurgery, Yashoda Hospital, Secunderabad, India

*Corresponding Author: Arun Reddy Marathi, Senior Resident, Department of Neurosurgery, Yashoda Hospital, Secunderabad, India.

Received: December 28, 2021; Published: February 22, 2022

Abstract

Advances in Neurosurgeon’s armamentarium in the form of navigation, high end microscope, rigid endoscope, and intra operative Magnetic resonance imaging (MRI) have encouraged them to develop or modify the surgical technique to minimize the exposure and dissection of normal anatomy of brain. These modifications led to development of “keyhole neurosurgery” which is based on principle of “minimal access” that leads to decreased post operative morbidity and facilitates patient’s recovery. Supra orbital keyhole approach through the eyebrow is one such technique to gain access to the anterior skull base. Further combining endoscopic assistance to standard microsurgical techniques improves illumination and vision at depth and reduces collateral damage to nearby brain parenchyma. We share our experience and technique for intoto excision of a right anterior clinoidal meningioma through endoscopic assisted supraorbital keyhole craniotomy and anterior sub frontal approach and conclude it to be a safe, minimally invasive technique for approaching the anterior cranial base lesions as well as approaching the aneurysms of anterior skull base with minimal damage of neighboring normal anatomy. It does involve learning curve to operate though this technique and one must have the conventional approach too in the back of the mind as a standby.

Keywords: Supra Orbital Keyhole Approach; Eyebrow Approach; Anterior Skull Base Lesions; Endoscope

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Citation

Citation: Arun Reddy Marathi., et al. “Supraorbital Keyhole Endoscopic Assisted Approach for Excision of Anterior Clinoidal Meningioma". Acta Scientific Neurology 5.3 (2022): 19-22.

Copyright

Copyright: © 2022 Arun Reddy Marathi., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.