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Minimally invasive craniotomies for lesions of the anterior and middle fossa

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Abstract

Minimally invasive craniotomies are the subject of increasing attention over the last two decades in neurosurgery, following the current trend of attempting to increase patient safety by providing surgeries with less tissue disruption, blood loss, and decreased operative time. However, a significant information overlap exists among the various keyhole approaches regarding their indications and differences with more invasive techniques. Therefore, the present study aims to comprehensively review, illustrate, and describe the potential benefits and disadvantages of minimally invasive techniques to access the anterior and middle fossa, including the mini-pterional, mini orbito-zygomatic, supraorbital, lateral supraorbital, and extended lateral supraorbital approaches while comparing them to classic, more invasive approaches.

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Authors and Affiliations

  1. Department of Neurosurgery, University of São Paulo, São Paulo, Brazil

    Raphael Bertani, Nicollas Nunes Rabelo, Daniela Von Zuben, Marcelo Prudente Do Espirito Santo & Eberval Gadelha Figueiredo

  2. School of Medicine, Vanderbilt University, Nashville, TN, USA

    Stefan Koester

  3. Faculty of Medicine, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil

    Sávio Batista

  4. Department of Neurosurgery, Hospital Municipal Miguel Couto, Rio de Janeiro, Brazil

    Caio Perret & Paulo Santa Maria

  5. School of Medicine, Universidad Peruana Cayetano Heredia, Lima, Peru

    Jhon E. Bocanegra-Becerra

  6. Pontificial Catholic University of Paraná, Curitiba, Paraná, Brazil

    Bruno Henrique Dallo Gallo

  7. SUNY Upstate University, New York, NY, USA

    Karl Abi-Aad

  8. Department of Neurosurgery, Hospital Madre Teresa, Belo Horizonte, Brazil

    Carlos Eduardo Ferrarez

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  1. Raphael Bertani
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Contributions

R.B. established the conceptual idea and workflow. All authors wrote and reviewed the manuscript. Figure 1 was drawn by a hired artist who provided us with the copyright (attached document in this submission), and Fig. 2 was elaborated by B.H.D.G.

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Correspondence to Raphael Bertani.

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Bertani, R., Koester, S., Batista, S. et al. Minimally invasive craniotomies for lesions of the anterior and middle fossa. Neurosurg Rev 45, 3149–3156 (2022). https://doi.org/10.1007/s10143-022-01850-z

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