Operative Technique and Complication Avoidance in Supraorbital Endoscopic Keyhole Craniotomy
DOI:
https://doi.org/10.36552/pjns.v24i1.401Keywords:
Supraorbital craniotomy, Minimal access, Complication, Skull baseAbstract
Objective: The aim of the current study is to describe the technical details of the endoscopic supraorbital keyhole craniotomy and how to avoid complications related with it.
Material and Methods: In this cross sectional observational study nine preserved human cadavers from The
Skull Base Lab of Weill Cornell Medical College, Cornell University, New York, USA were used. Total number of
18 endoscopic supraorbital keyhole craniotomies were performed. Distances between the different targeted
anatomical constructs were looked at and measured.
Results: A supraorbital craniotomy was performed with details on the technique of the surgery. The second
major part of the results comprised of per-operative complications and how to avoid these complications.
Conclusion: To treat anterior and middle skull base pathologies, the endoscopic supraorbital keyhole
craniotomy is an effective, valuable and minimal access surgical choice.
References
Surgical Technique. Wien: Springer-Verlag; 2008:37 – 96.
2. Reisch R, Perneczky A. Ten-year experience with the supraorbital subfrontal approach through an eyebrow skin incision. Neurosurgery 2005;57(4 suppl):242–255 discussion 242 – 255. ?
3. Reisch R, Perneczky A, Filippi R. Surgical technique of the supraorbital key-hole craniotomy. Surg Neurol 2003;59:223–227.
4. Berhouma M, Jacquesson T, Jouanneau E. The fully endoscopic supraorbital trans-eyebrow keyhole approach to the anterior and middle skull base. Acta Neurochir 2011; 153:1949–54.
5. van Lindert EJ, Grotenhuis JA. The combined supraorbital keyhole-endoscopic endonasal transsphenoidal approach to sellar, perisellar and frontal skull base tumors: Surgical technique. Minim Invasive Neurosurg. 2009;52:281–6. [PubMed: 20077375].
6. Paladino J, Mrak G, Mikliæ P, Jednacak H, Mihaljevi? D. The keyhole concept in aneurysm surgery--a comparative study: Keyhole versus standart craniotomy. Minim Invas Neurosurg. 2005;48:251–8.
7. Telera S, Carapella CM, Caroli F, Crispo F, Cristalli G, Raus L, et al. Supraorbital keyhole approach for removal of midline anterior cranial fossa meningiomas: A series of 20 consecutive cases. Neurosurg Rev. 2012;35:67–83. [PubMed: 21800054].
8. Kabil MS, Shahinian HK. Application of the supraorbital endoscopic approach to tumors of the anterior cranial base. J Craniofac Surg. 2005;16:1070–5. [PubMed: 16327556].
9. Wiedemayer H, Sandalcioglu IE, Wiedemayer H, Stolke D. The supraorbital keyhole approach via an eyebrow incision for resection of tumors around the sella and the anterior skull base. Minim Invasive Neurosurg. 2004;47:221–5. [PubMed: 15346318].
10. Benjamin V, Russell SM. The microsurgical nuances of resecting tuberculum sellae meningiomas. Neurosurgery. 2005;56(Suppl):411–7. [PubMed: 15794838].
11. Czirják S, Szeifert GT. Surgical experince with frontolateral keyhole craniotomy through a superciliary skin incision. Neurosurgery. 2001;48:145–50. [PubMed: 11152339].
12. Figueiredo EG, Deshmukh V, Nakaji P, Desmukh P, Crusius MU, Crawford N, et al. An anatomical evaluation of the mini-supraorbital approach and comprasion with standard craniotomies. Neurosurgery. 2006;59(Suppl 2):ONS212–20. [PubMed: 17041490]
13. Cavalcanti DD, García-González U, Agrawal A, Crawford NR, Tavares PL, Spetzler RF, et al. Quantitative anatomic study of the transciliary supraorbital approach: Benefits of additional orbital osteotomy? Neurosurgery. 2010;66(Suppl Operative):205–10. [PubMed: 20489507].
14. Kabil MS, Shahinian HK. The endoscopic supraorbital approach to tumors of the middle cranial base. Surg Neurol. 2006;66:396–401. [PubMed: 17015120]
15. Kabil MS, Shahinian HK. Fully endoscopic supraorbital resection of congenital middle cranial fossa arachnoid cysts: Report of 2 cases. Pediatr Neurosurg. 2007;43:316–22. [PubMed: 17627150].
16. Otani N, Muroi C, Yano H, Khan N, Pangalu A, Yonekawa Y. Surgical management of tuberculum sellae meningioma: Role of selective extradural anterior clinoidectomy. Br J Neurosurg. 2006;20:129–38. [PubMed: 16801044].
17. Komatsu F, Komatsu M, Inoue T, Tschabitscher M. Endoscopic supraorbital extradural approach to the cavernous sinus: A cadaver study. J Neurosurg. 2011;114:1331–7. [PubMed: 21142751]
18. Ciporen JN, Moe KS, Ramanathan D, Lopez S, Ledesma E, Rostomily R, et al. Multiportal endoscopic approaches to the central skull base: A cadaveric study. World Neurosurg. 2010;73:705–12. [PubMed: 20934161]
19. Filipce V, Pillai P, Makiese O, Zarzour H, Pigott M, Ammirati M. Quantitative and qualitative analysis of the working area obtained by endoscope and microscope in various approaches to the anterior communicating artery complex using computed tomography based frameless stereotaxy: A cadaver study. Neurosurgery. 2009;65:1147–53. [PubMed: 19934974]
20. Komatsu F, Komatsu M, Inoue T, Tschabitscher M. Endoscopic extradural anterior clinoidectomy via supraorbital keyhole: A cadaveric study. Neurosurgery. 2011;68(Suppl Operative):334–8. [PubMed: 21336210]
21. Jane JA, Park TS, Pobereskin LH, Winn HR, Butler AB. The supraorbital approach: technical note. Neurosurgery 1982;11:537–42.
22. Perneczky A, Müler-Forell W, van Lindert E. Stuttgart, Germany: Georg Thieme Verlag; 1999. Keyhole Concept in Neurosurgery.
23. van Lindert E, Perneczky A, Fries G, Pierangeli E. The supraorbital keyhole approach to supratentorial aneuryms: Concept and technique. Surg Neurol. 1998;49:481–90. [PubMed: 9586924]
24. Jallo GI, Benjamin V. Tuberculum sellae meningiomas: Microsurgical anatomy and surgical technique. Neurosurgery. 2002;51:1432–40. [PubMed: 12445348]
25. Alcakaya MO, Aras Y, Izgi N, Gayretli O, Sabanci PA, Aydoseli A, et al. Fully endoscopic supraorbital keyhole approach to the anterior cranial base: A cadaveric study. J Neurosci Rural Pract 2015; 6(3): 361–368. doi: 10.4103/0976-3147.154568
2. Reisch R, Perneczky A. Ten-year experience with the supraorbital subfrontal approach through an eyebrow skin incision. Neurosurgery 2005;57(4 suppl):242–255 discussion 242 – 255. ?
3. Reisch R, Perneczky A, Filippi R. Surgical technique of the supraorbital key-hole craniotomy. Surg Neurol 2003;59:223–227.
4. Berhouma M, Jacquesson T, Jouanneau E. The fully endoscopic supraorbital trans-eyebrow keyhole approach to the anterior and middle skull base. Acta Neurochir 2011; 153:1949–54.
5. van Lindert EJ, Grotenhuis JA. The combined supraorbital keyhole-endoscopic endonasal transsphenoidal approach to sellar, perisellar and frontal skull base tumors: Surgical technique. Minim Invasive Neurosurg. 2009;52:281–6. [PubMed: 20077375].
6. Paladino J, Mrak G, Mikliæ P, Jednacak H, Mihaljevi? D. The keyhole concept in aneurysm surgery--a comparative study: Keyhole versus standart craniotomy. Minim Invas Neurosurg. 2005;48:251–8.
7. Telera S, Carapella CM, Caroli F, Crispo F, Cristalli G, Raus L, et al. Supraorbital keyhole approach for removal of midline anterior cranial fossa meningiomas: A series of 20 consecutive cases. Neurosurg Rev. 2012;35:67–83. [PubMed: 21800054].
8. Kabil MS, Shahinian HK. Application of the supraorbital endoscopic approach to tumors of the anterior cranial base. J Craniofac Surg. 2005;16:1070–5. [PubMed: 16327556].
9. Wiedemayer H, Sandalcioglu IE, Wiedemayer H, Stolke D. The supraorbital keyhole approach via an eyebrow incision for resection of tumors around the sella and the anterior skull base. Minim Invasive Neurosurg. 2004;47:221–5. [PubMed: 15346318].
10. Benjamin V, Russell SM. The microsurgical nuances of resecting tuberculum sellae meningiomas. Neurosurgery. 2005;56(Suppl):411–7. [PubMed: 15794838].
11. Czirják S, Szeifert GT. Surgical experince with frontolateral keyhole craniotomy through a superciliary skin incision. Neurosurgery. 2001;48:145–50. [PubMed: 11152339].
12. Figueiredo EG, Deshmukh V, Nakaji P, Desmukh P, Crusius MU, Crawford N, et al. An anatomical evaluation of the mini-supraorbital approach and comprasion with standard craniotomies. Neurosurgery. 2006;59(Suppl 2):ONS212–20. [PubMed: 17041490]
13. Cavalcanti DD, García-González U, Agrawal A, Crawford NR, Tavares PL, Spetzler RF, et al. Quantitative anatomic study of the transciliary supraorbital approach: Benefits of additional orbital osteotomy? Neurosurgery. 2010;66(Suppl Operative):205–10. [PubMed: 20489507].
14. Kabil MS, Shahinian HK. The endoscopic supraorbital approach to tumors of the middle cranial base. Surg Neurol. 2006;66:396–401. [PubMed: 17015120]
15. Kabil MS, Shahinian HK. Fully endoscopic supraorbital resection of congenital middle cranial fossa arachnoid cysts: Report of 2 cases. Pediatr Neurosurg. 2007;43:316–22. [PubMed: 17627150].
16. Otani N, Muroi C, Yano H, Khan N, Pangalu A, Yonekawa Y. Surgical management of tuberculum sellae meningioma: Role of selective extradural anterior clinoidectomy. Br J Neurosurg. 2006;20:129–38. [PubMed: 16801044].
17. Komatsu F, Komatsu M, Inoue T, Tschabitscher M. Endoscopic supraorbital extradural approach to the cavernous sinus: A cadaver study. J Neurosurg. 2011;114:1331–7. [PubMed: 21142751]
18. Ciporen JN, Moe KS, Ramanathan D, Lopez S, Ledesma E, Rostomily R, et al. Multiportal endoscopic approaches to the central skull base: A cadaveric study. World Neurosurg. 2010;73:705–12. [PubMed: 20934161]
19. Filipce V, Pillai P, Makiese O, Zarzour H, Pigott M, Ammirati M. Quantitative and qualitative analysis of the working area obtained by endoscope and microscope in various approaches to the anterior communicating artery complex using computed tomography based frameless stereotaxy: A cadaver study. Neurosurgery. 2009;65:1147–53. [PubMed: 19934974]
20. Komatsu F, Komatsu M, Inoue T, Tschabitscher M. Endoscopic extradural anterior clinoidectomy via supraorbital keyhole: A cadaveric study. Neurosurgery. 2011;68(Suppl Operative):334–8. [PubMed: 21336210]
21. Jane JA, Park TS, Pobereskin LH, Winn HR, Butler AB. The supraorbital approach: technical note. Neurosurgery 1982;11:537–42.
22. Perneczky A, Müler-Forell W, van Lindert E. Stuttgart, Germany: Georg Thieme Verlag; 1999. Keyhole Concept in Neurosurgery.
23. van Lindert E, Perneczky A, Fries G, Pierangeli E. The supraorbital keyhole approach to supratentorial aneuryms: Concept and technique. Surg Neurol. 1998;49:481–90. [PubMed: 9586924]
24. Jallo GI, Benjamin V. Tuberculum sellae meningiomas: Microsurgical anatomy and surgical technique. Neurosurgery. 2002;51:1432–40. [PubMed: 12445348]
25. Alcakaya MO, Aras Y, Izgi N, Gayretli O, Sabanci PA, Aydoseli A, et al. Fully endoscopic supraorbital keyhole approach to the anterior cranial base: A cadaveric study. J Neurosci Rural Pract 2015; 6(3): 361–368. doi: 10.4103/0976-3147.154568
Downloads
Published
2020-04-11
Issue
Section
Original Articles
License
The work published by PJNS is licensed under a Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0). Copyrights on any open access article published by Pakistan Journal of Neurological Surgery are retained by the author(s).
