A Supraorbital Trans-Eyebrow Approach for Removal of Anterior Cranial Fossa Meningiomas

• Published in: NeuroQuantology Vol. 19; no. 3; p. 1181
• Main Authors: Alazzazi Rabei, Hany Ibrahim Mohamed Youssef
• Format: Journal Article
• Language: English
• Published: Bornova Izmir NeuroQuantology 01.01.2021
• Subjects: Blood vessels; Patients; Soft tissues; Surgery; Tumors
• ISSN: 1303-5150
• DOI: 10.48047/nq.2021.19.3.NQ21035

Background: The eyebrow-trans supraorbital approach is a common procedure used for operating on tumors in the front part of the skull. This gives surgeons good access to the front part of the skull through a small cut and minimal soft tissue dissection along with less brain stretching compared to standard skull operations. The study aims to evaluate supraorbital craniotomy via the eyebrow route in surgery for anterior skull meningiomas. Methods: The study included 6 patients (4 females and 2 males) who were subjected to surgery for meningioma using the trans-eyebrow supraorbital approach using a 5 Cm lateral eyebrow incision at the at Al -Azhar University hospitals between January 2020 and January 2021. Results: Five patients achieved complete tumor removal and one had subtotal excision due to extension, which was verified by MRI scans after the surgery. They also had good cosmetic outcomes. One patient had Rhinorrhea after the surgery, which improved with non-surgical treatments and did not require reoperation. Another patient had a total loss of vision. None of the 6 patients had any complications from injuring the main blood vessels or the cavernous sinus. Conclusion: A supraorbital trans-eyebrow craniotomy is a less invasive surgery for removing most tumors at the front of the skull. The benefits of this small opening surgery compared to standard skull openings are fewer risks related to the surgical approach.