Supraorbital Craniotomy for Large Anterior Skull Base Meningiomas: A Technical Note

Area of Science:

• Neurosurgery
• Skull Base Surgery
• Oncology

Background:

• Supraorbital craniotomy (SOC) has advanced anterior skull base lesion treatment.
• Indications for SOC now include large and complex anterior skull base lesions.

Purpose of the Study:

• To evaluate the surgical experience with large anterior skull base meningiomas using SOC.
• To discuss surgical nuances, safety, and outcomes of SOC for these tumors.

Main Methods:

• Retrospective analysis of seven cases of large anterior skull base meningiomas (>3 cm) treated with SOC.
• Review of indications, surgical procedures, safety, and complications.

Main Results:

• Simpson's Grade 2 excision achieved in all seven cases.
• Faster postoperative recovery and satisfactory clinical outcomes and cosmesis observed.
• SOC demonstrated a safe alternative for treating selected large meningiomas.

Conclusions:

• Supraorbital craniotomy (SOC) is a viable and safe alternative to standard approaches for large anterior skull base meningiomas.
• SOC can be effectively utilized for selected large anterior skull base meningiomas, yielding positive results.