Transglabellar approach for resection of anterior midline skull base meningiomas: technical note.
Acta Neurochir (Wien)
; 156(12): 2283-7, 2014 Dec.
Article
em En
| MEDLINE
| ID: mdl-25238987
ABSTRACT
BACKGROUND:
We describe our experience of minimally invasive approach of the anterior skull base through the transglabellar approach.METHOD:
The technical details of the transglabellar approach are described in this article as we have been using it for the past 3 years. After an inter-eyebrow skin incision, the scalp is elevated allowing the creation of a 3-cm bone flap in the frontal sinus, which gives direct access to the anterior midline skull base. Removal of the tumour is carried out without brain retraction. The closure requires obstruction of nasofrontal ducts and sinus mucosa removal.RESULTS:
We operated on 24 patients using this approach. The tumour was completely removed in every case. We reported one case of meningitis and three cerebrospinal fluid leaks. Every patient was satisfied with the aesthetic results.CONCLUSIONS:
The transglabellar approach is a reasonably easy and efficient way to resect anterior midline skull base meningiomas.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Procedimentos Cirúrgicos Minimamente Invasivos
/
Neoplasias da Base do Crânio
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Procedimentos Neurocirúrgicos
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Neoplasias Meníngeas
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Meningioma
Tipo de estudo:
Etiology_studies
Limite:
Adult
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Aged
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Aged80
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Female
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Humans
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Male
/
Middle aged
Idioma:
En
Revista:
Acta Neurochir (Wien)
Ano de publicação:
2014
Tipo de documento:
Article