Skip to main content
SpringerLink
Log in

The fully endoscopic supraorbital trans-eyebrow keyhole approach to the anterior and middle skull base

  • How I Do it
  • Published:
Acta Neurochirurgica Aims and scope Submit manuscript

Abstract

Background

The purely endoscopic eyebrow supraorbital approach is an alternative to both the endoscopic endonasal and eyebrow microsurgical routes to the anterior and middle cranial base. It combines an enhanced visualization provided by the endoscope and the absence of cerebrospinal fluid (CSF) leaks and nasal complications.

Methods

A trans-eyebrow 2-cm craniotomy is designed to allow the placement of a straight endoscope and visualize the skull base from the cribriform plate to the mesiotemporal lobe.

Result

Visualization is considerably improved, while the keyhole mini-invasive concept is respected.

Conclusion

The purely endoscopic eyebrow supraorbital keyhole approach is a valuable and alternative minimally invasive route to anterior and middle skull base lesions.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6

Similar content being viewed by others

References

  1. Czirják S, Szeifert GT (2001) Surgical experience with frontolateral keyhole craniotomy through a superciliary skin incision. Neurosurgery 48:145–149

    Article  PubMed  Google Scholar 

  2. Fries G, Reisch R (1996) Biportal neuroendoscopic microsurgical approaches to the subarachnoid cisterns. A cadaver study. Minim Invasive Neurosurg 39:99–104

    Article  PubMed  CAS  Google Scholar 

  3. Jane JA, Park TS, Pobereskin LH, Winn HR, Butler AB (1982) The supraorbital approach: technical note. Neurosurgery 11:537–542

    Article  PubMed  CAS  Google Scholar 

  4. Kabil MS, Shahinian HK (2005) Application of the supraorbital endoscopic approach to tumors of the anterior cranial base. J Craniofac Surg 16:1070–1074

    Article  PubMed  Google Scholar 

  5. Kabil MS, Shahinian HK (2006) The endoscopic supraorbital approach to tumors of the middle cranial base. Surg Neurol 66:396–401

    Article  PubMed  Google Scholar 

  6. Kabil MS, Shahinian HK (2007) Fully endoscopic supraorbital resection of congenital middle cranial fossa arachnoid cysts: report of 2 cases. Pediatr Neurosurg 43:316–322

    Article  PubMed  Google Scholar 

  7. Menovsky T, Grotenhuis JA, de Vries J, Bartels RH (1999) Endoscope-assisted supraorbital craniotomy for lesions of the interpeduncular fossa. Neurosurgery 44:106–110

    Article  PubMed  CAS  Google Scholar 

  8. Perneczky A, Fries G (1998) Endoscope-assisted brain surgery: part 1–evolution, basic concept, and current technique. Neurosurgery 42:219–224

    Article  PubMed  CAS  Google Scholar 

  9. Reisch R, Perneczky A (2005) Ten-year experience with the supraorbital subfrontal approach through an eyebrow skin incision. Neurosurgery 57:242–255

    Article  PubMed  Google Scholar 

  10. van Lindert E, Perneczky A, Fries G, Pierangeli E (1998) The supraorbital keyhole approach to supratentorial aneurysms: concept and technique. Surg Neurol 49:481–489

    Article  PubMed  Google Scholar 

Download references

Conflicts of interest

None.

Author information

Authors and Affiliations

  1. Skull Base Surgery Unit, Department of Neurosurgery A, Pierre Wertheimer Hospital, Hospices Civils de Lyon, Claude Bernard University, Lyon, France

    Moncef Berhouma, Timothée Jacquesson & Emmanuel Jouanneau

  2. INSERM U1028, CNRS UMR5292, Centre de Recherche en Neurosciences de Lyon, Equipe Neuro-oncologie et Neuro-inflammation, Faculté de Médecine Lyon Sud, Université de Lyon I, Lyon, France

    Emmanuel Jouanneau

  3. Départment de Neurochirurgie A, Hôpital Neurologique Pierre Wertheimer, Groupement Hospitalier Est, Hospices Civils de Lyon, 59 Boulevard Pinel, Bron, 69677, France

    Emmanuel Jouanneau

Authors
  1. Moncef Berhouma
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Timothée Jacquesson
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Emmanuel Jouanneau
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Emmanuel Jouanneau.

Electronic supplementary material

Below is the link to the electronic supplementary material.

(MOV 68.2 MB)

Rights and permissions

Reprints and permissions

About this article

Cite this article

Berhouma, M., Jacquesson, T. & Jouanneau, E. The fully endoscopic supraorbital trans-eyebrow keyhole approach to the anterior and middle skull base. Acta Neurochir 153, 1949–1954 (2011). https://doi.org/10.1007/s00701-011-1089-z

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00701-011-1089-z

Keywords

Search

Navigation