Related Experiment Video
Updated: Feb 19, 2026
Lateral Molar Approach-Driven Transoral Endoscopic Procedure for Benign Infratemporal Fossa Tumor Resection
Published on: August 15, 2025
The endoscope-assisted contralateral paramedian approach to large falcine meningiomas
Florian Roser1, Luigi Rigante2
1Department of Neurosurgery, Neurological Institute, Cleveland Clinic Abu Dhabi, Al Maryah Island, Abu Dhabi, United Arab Emirates, P.O. Box 11 24 12.
Background:
Resection of large falcine meningiomas can be challenging as overlaying cortical brain is endangered during the surgical approach.
Method:
We describe the endoscope-assisted contralateral paramedian approach to large left-falcine meningiomas to avoid retraction of the ipsilateral thin layer of eloquent brain cortex.
Conclusions:
The contralateral paramedian approach enables complete tumor resection with endoscopic-assisted removal of tumor remnants in the superior aspect of the resection cavity, sparing any manipulation of ipsilateral brain tissue.
Insights
This study introduces a novel surgical approach for large falcine meningiomas, utilizing an endoscope-assisted contralateral paramedian technique. This method protects delicate brain tissue by avoiding direct retraction, ensuring safer tumor removal.
Area of Science:
- Neurosurgery
- Oncology
- Surgical Neurology
Background:
- Large falcine meningiomas pose significant surgical challenges.
- Protecting the overlying eloquent cortical brain is critical during resection.
Purpose of the Study:
- To describe a minimally invasive surgical technique for large falcine meningiomas.
- To present the endoscope-assisted contralateral paramedian approach to minimize brain retraction.
Main Methods:
- A contralateral paramedian surgical approach was employed.
- Endoscopic assistance was utilized for tumor removal.
- The technique focused on avoiding retraction of ipsilateral cortical brain.
Main Results:
- The contralateral paramedian approach facilitated complete resection of large falcine meningiomas.
- Endoscopic-assisted removal effectively addressed tumor remnants in the superior resection cavity.
- This method successfully spared manipulation of ipsilateral brain tissue.
Conclusions:
- The endoscope-assisted contralateral paramedian approach is a viable and safe technique for large falcine meningiomas.
- This surgical strategy minimizes risks associated with retracting eloquent brain cortex.
- Complete tumor resection and preservation of neurological function are achievable.
