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Open Surgical Approaches for Meningiomas.
Xiaochun Zhao1, Sherwin A Tavakol1, Panayiotis E Pelargos1
1Department of Neurosurgery, University of Oklahoma Health Sciences Center, HHDC 4000, 1000 N Lincoln Boulevard, Oklahoma City, OK, 73104, USA.
Neurosurgery Clinics of North America
|May 20, 2023
Summary
This study reviews surgical approaches for meningiomas, the most common brain tumors. Selecting the right craniotomy is key for safe and complete removal, especially for skull base tumors.
Area of Science:
- Neurosurgery
- Oncology
Background:
- Meningiomas are the most common primary intracranial tumors.
- Resection of meningiomas, particularly skull base tumors, presents significant surgical challenges.
Purpose of the Study:
- To summarize various craniotomies and surgical approaches for meningioma resection.
- To illustrate key techniques and nuances for optimal surgical outcomes.
Main Methods:
- Review of different craniotomy techniques and surgical approaches for meningiomas.
- Cadaveric dissections and operative video demonstrations.
Main Results:
- Detailed description of various craniotomies and their application to meningioma resection.
- Illustrations of surgical nuances to minimize brain retraction and optimize exposure.
Conclusions:
- Appropriate selection of craniotomy and surgical approach is crucial for safe and complete meningioma resection.
- Understanding these techniques enhances surgical proficiency for challenging meningioma cases.

