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Lateral Molar Approach-Driven Transoral Endoscopic Procedure for Benign Infratemporal Fossa Tumor Resection
Published on: August 15, 2025
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The supraorbital endoscopic approach for tumors
David A Wilson1, Huy Duong2, Charles Teo3
1Division of Neurological Surgery, Barrow Neurological Institute, Phoenix, Arizona, USA; Centre for Minimally Invasive Neurosurgery, Prince of Wales Private Hospital, Sydney, Australia.
World Neurosurgery
|December 16, 2014
Summary
The supraorbital keyhole approach, with endoscopic assistance, offers minimally invasive access for removing various brain tumors. This technique enhances surgical precision and safety for complex frontal and suprasellar lesions.
Area of Science:
- Neurosurgery
- Minimally Invasive Surgery
- Endoscopic Neurosurgery
Background:
- The supraorbital eyebrow craniotomy is a keyhole approach for accessing the anterior cranial base.
- Endoscopic assistance expands the utility of minimally invasive neurosurgical techniques.
Purpose of the Study:
- To detail the indications for the supraorbital keyhole approach.
- To describe technical nuances and strategies for avoiding complications.
- To highlight the role of endoscopy in enhancing this surgical method.
Main Methods:
- Review of surgical techniques for supraorbital keyhole approach.
- Description of endoscopic assistance in tumor removal.
- Analysis of indications and complication avoidance strategies.
Main Results:
- The supraorbital approach provides access to frontal fossa, parasellar, and some middle/posterior fossa tumors.
- It is ideal for planum/tuberculum sellae meningiomas, craniopharyngiomas, and certain intraaxial tumors.
- Endoscopy significantly broadens the versatility and safety of this keyhole technique.
Conclusions:
- The supraorbital keyhole approach with endoscopy is a versatile and effective minimally invasive technique.
- It allows safe and maximal resection of a wide spectrum of challenging brain tumors.
- Endoscopic assistance is crucial for optimizing outcomes with this approach.
