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Transglabellar approach for resection of anterior midline skull base meningiomas: technical note

  • Technical Note - Neurosurgical Techniques
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Abstract

Background

We describe our experience of minimally invasive approach of the anterior skull base through the transglabellar approach.

Method

The technical details of the transglabellar approach are described in this article as we have been using it for the past 3 years. After an inter-eyebrow skin incision, the scalp is elevated allowing the creation of a 3-cm bone flap in the frontal sinus, which gives direct access to the anterior midline skull base. Removal of the tumour is carried out without brain retraction. The closure requires obstruction of nasofrontal ducts and sinus mucosa removal.

Results

We operated on 24 patients using this approach. The tumour was completely removed in every case. We reported one case of meningitis and three cerebrospinal fluid leaks. Every patient was satisfied with the aesthetic results.

Conclusions

The transglabellar approach is a reasonably easy and efficient way to resect anterior midline skull base meningiomas.

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Conflicts of interest

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Authors and Affiliations

  1. Service de Neurochirurgie, CHU Reims, 45 rue Cognacq Jay, 51100, Reims, France

    Jean-Charles Kleiber, Segolene Roemer, Julien Duntze, Christophe Eap, Etienne Theret, Pascal Rousseaux & Fabien Litre

Authors
  1. Jean-Charles Kleiber
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  2. Segolene Roemer
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  3. Julien Duntze
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  4. Christophe Eap
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  5. Etienne Theret
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  6. Pascal Rousseaux
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  7. Fabien Litre
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Corresponding author

Correspondence to Jean-Charles Kleiber.

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Kleiber, JC., Roemer, S., Duntze, J. et al. Transglabellar approach for resection of anterior midline skull base meningiomas: technical note. Acta Neurochir 156, 2283–2287 (2014). https://doi.org/10.1007/s00701-014-2223-5

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  • DOI: https://doi.org/10.1007/s00701-014-2223-5

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