Abstract:Objective To explore the surgical techniques and indications of supra-orbital eyebrow keyhole approach for treating lesions in anterior fossa and sellar region.Methods Forty-six cases from February 2002 to December 2012 were retrospectivel analyzed, including 13 cases of olfactory groove meningiomas (tumor size 3-4.5cm), 17 cases of tuberculum sellae meningiomas (tumor size 2-3.5cm), 3 cases of pituitary stalk mass (biopsy), 3 cases of pituitary adenoma and 10 cases of intracranial aneurysms (6 cases of anterior communicating artery and 4 cases of posterior communicating artery aneurysms).Results All meningiomas and pituitary andenomas were totally removed. Mass of the pituitary stalk was diagnosed by pathology. Aneurysms were completely clipped. Two patients experienced with cerebrospinal flud rinorhea and recovered one week later. One patient suffered transitory diabetes insipidus, and recovered one month later.Conclusions Supra-orbital eyebrow keyhole approach is a useful minimally invasive approach to treat selected anterior fossa and sellar region lesions.
卞留贯,孙青芳,蒋峰,王汉鹏,李云峰,沈建康. 经眉眶上匙孔手术治疗前颅底、鞍区病变[J]. 中华解剖与临床杂志, 2014, 19(4): 303-306.
Bian Liuguan , Sun Qingfang, Jiang Feng, Wang Hanpeng, Li Yunfeng, Shen Jiankang. Supra-orbital eyebrow keyhole approach for treating lesions in anterior fossa and sellar region. Chinese Journal of Anatomy and Clinics, 2014, 19(4): 303-306.
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