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Frontal trans-sinusal approach: how I do it.

Gianpaolo Jannelli1,2, Francesco Calvanese3,4, Emmanuel Jouanneau2,5

  • 1Department of Neurosurgery, Neurocenter of Southern Switzerland, Ospedale Regionale Di Lugano, Lugano, Switzerland.

Acta Neurochirurgica
|September 6, 2023
PubMed
Summary
This summary is machine-generated.

The frontal trans-sinusal approach offers a safe alternative for accessing anterior skull base lesions, particularly large olfactory groove meningiomas. This technique minimizes brain retraction and improves tumor devascularization.

Keywords:
CranializationFrontal sinusMeningiomaNavigationSkull base

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Area of Science:

  • Neurosurgery
  • Skull Base Surgery

Background:

  • Anterior skull base lesions are surgically accessible via various conventional approaches.
  • The frontal trans-sinusal approach presents an alternative in select cases.

Purpose of the Study:

  • To present the technique for a frontal trans-sinusal approach.
  • To manage a patient with a large olfactory groove meningioma.

Main Methods:

  • Surgical technique involving a frontal trans-sinusal approach.
  • Application in a case of large olfactory groove meningioma.

Main Results:

  • The frontal trans-sinusal approach provides safe access to median anterior cranial fossa lesions.
  • Benefits include reduced brain retraction, enhanced olfactory groove access, and earlier tumor devascularization.

Conclusions:

  • This approach is effective for specific anterior skull base pathologies.
  • Limitations include the need for large frontal sinuses and potential risks like CSF leak or mucocele.