49 results match your criteria Anterior Subfrontal Approach - Tumor Removal

Supraorbital transciliary keyhole approach for removal of tuberculum sellae meningioma: 3D surgical video.

Surg Neurol Int 2021 5;12. Epub 2021 Jan 5.

Department of Neurosurgery, Northeast National Medical Center, Monterrey, Nuevo Leon, Mexico.

Background: Tuberculum sellae meningiomas have an incidence from 5 to 10% of all intracranial meningiomas[2] and tend to be surgically difficult and challenging tumors given their proximity to important structures such as the internal carotid artery (ICA), anterior cerebral artery (ACA), and optic nerves.[3] Typically, their growth is posteriorly and superiorly oriented, thereby displacing the optic nerves and causing visual dysfunction, which is the primary indication for surgical treatment.[1] The main goals of the treatment are the preservation or restoration of visual abilities and a complete tumor resection. Read More

View Article and Full-Text PDF
January 2021

Cranio-Orbital Tumors: Clinical Results and A Surgical Approach.

Sisli Etfal Hastan Tip Bul 2019 27;53(3):240-246. Epub 2019 Aug 27.

Department of Neurosurgery, Sisli Etfal Training and Research Hospital, Istanbul, Turkey.

Objectives: In this study, we aimed to share the surgical approaches and clinical experiences of cranio-orbital tumors, which are surgically difficult anatomies.

Methods: A total of 22 orbital tumors with extraorbital-transcranial pathology between January 2004 and December 2017 were retrospectively reviewed. Information was obtained from hospital, operation and outpatient records for this study. Read More

View Article and Full-Text PDF

Anatomical Variations in the Location of Veins Draining Into the Anterior Superior Sagittal Sinus: Implications for the Transbasal Approach.

Oper Neurosurg (Hagerstown) 2020 06;18(6):668-675

Section of Skull Base Surgery, Department of Neurological Surgery, Cleveland Clinic, Cleveland, Ohio.

Background: Many approaches are used for midline anterior cranial fossa meningioma resection. In the subfrontal approach, the anterior superior sagittal sinus (SSS) is commonly ligated to release the anterior falx. The transbasal approach allows access to the origin of the anterior SSS, allowing for maximum venous preservation. Read More

View Article and Full-Text PDF

Microsurgical treatment of craniopharyngioma: Experiences on 183 consecutive patients.

Medicine (Baltimore) 2018 Aug;97(34):e11746

Department of Neurosurgery, PLA General Hospital, Beijing, China.

This study aimed to summarize the clinical experiences and postoperative effects of microsurgical approaches for craniopharyngioma.A total of 183 craniopharyngioma patients who underwent microsurgical treatment since March 2009 to March 2015 in our hospital were included in current research. Surgical approaches were selected based on preoperative evaluations, including tumor locations, sizes, and growth patterns. Read More

View Article and Full-Text PDF

[The curative effect analysis of unilateral subfrontal combined with interhemispheric approach on the microsurgery of large anterior skull base meningioma].

Zhonghua Yi Xue Za Zhi 2018 Feb;98(7):524-526

Department of Neurosurgery, the First Affiliated Hospital of Bengbu Medical College, Bengbu 233004, China.

To explore the surgical technique and curative effect of microsurgical resection of large anterior skull base meningioma via unilateral subfrontal and interhemispheric approach. The clinical data of 14 patients with large anterior skull base meningioma who received surgical treatment in the Department of neurosurgery in First Affiliated Hospital of Bengbu Medical College from April 2015 to September 2017 were analysed retrospectively.Of 9 cases were olfactory groove meningioma and 5 cases were tuberculum sellae meningioma. Read More

View Article and Full-Text PDF
February 2018

Predictive factors for surgical outcome in anterior clinoidal meningiomas: Analysis of 59 consecutive surgically treated cases.

Medicine (Baltimore) 2017 Apr;96(15):e6594

Department of Neurosurgery Department of Pathology Department of Obstetrics and Gynecology Department of Radiology, Chonnam National University Hwasun Hospital and Medical School, Hwasun, Jeollanam-do, South Korea.

Despite the advances in the microsurgical technique and anatomical understanding of the anterior and middle skull base, anterior clinoidal meningiomas are still challenging lesions to resect completely and safely due to their intimate relationship with vital neurovascular structures. We report predictive factors for tumor recurrence and postoperative complications based on surgical outcome of patients with anterior clinoidal meningiomas treated at our institution.Fifty-nine consecutive patients with anterior clinoidal meningioma who were surgically treated between March, 1993, and July, 2015, were reviewed retrospectively. Read More

View Article and Full-Text PDF

Supraorbital subfrontal trans-laminar endoscope-assisted approach for tumors of the posterior third ventricle.

Acta Neurochir (Wien) 2017 04 24;159(4):645-654. Epub 2017 Feb 24.

Department of Neurosurgery, Umberto I General Hospital, Università Politecnica delle Marche, Via Conca #71, Ancona, 60020, Italy.

Background: Different surgical approaches have been developed for dealing with third ventricle lesions, all aimed at obtaining a safe removal minimizing brain manipulation. The supraorbital subfrontal trans-lamina terminalis route, commonly employed only for the anterior third ventricle, could represent, in selected cases with endoscopic assistance, an alternative approach to posterior third ventricular lesions.

Methods: Seven patients underwent a supraorbital subfrontal trans-laminar endoscope-assisted approach to posterior third ventricle tumors (two craniopharyngiomas, one papillary tumor of the pineal region, one pineocytoma, two neurocytomas, one glioblastoma). Read More

View Article and Full-Text PDF

The extended pterional approach allows excellent results for removal of anterior cranial fossa meningiomas.

Arq Neuropsiquiatr 2016 May;74(5):382-7

Hospital Federal dos Servidores do Estado do Rio de Janeiro, Rio de Janeiro, RJ, Brasil.

Objective To describe a unique operative strategy, instead the classical pterional approach, and to analyses it safety and effectiveness for removal of anterior cranial fossa meningiomas. Method We identify 38 patients with tuberculum sellae and olphactory groove meningiomas operated between 1986 and 2013. Medical charts, operative reports, imaging studies and clinical follow-up evaluations were reviewed and analyzed retrospectively. Read More

View Article and Full-Text PDF

[Treatment for giant pituitary adenomas through transcranial approach in a series of 112 consecutive patients].

Zhonghua Wai Ke Za Zhi 2015 Mar;53(3):197-201

Objective: To investigate the clinical features, surgical transcranial approaches and outcomes of giant pituitary adenomas.

Methods: A series of 112 consecutive cases of giant pituitary adenomas underwent microsurgery through transcranial approaches at People' s Liberation Army General Hospital were retrospectively analyzed. Of the 112 patients, 58 were male and 54 were female, with age ranging from 3 to 72 years(mean age 44. Read More

View Article and Full-Text PDF

Surgical management of midline anterior skull base meningiomas: experience of 30 cases.

Turk Neurosurg 2015 ;25(3):432-7

Cairo University Hospitals, Department of Neurosurgery, El Manial, Cairo, Egypt.

Aim: Midline anterior skull base meningiomas include olfactory groove meningiomas (OGMs), Tuberculum Sellae meningiomas (TSMs), and planum sphenoidale meningiomas (PSMs). The main surgical challenge in treating these lesions is to excise the tumor totally without causing mortality or morbidity. Studying the clinical patterns and the surgical outcomes of these lesions. Read More

View Article and Full-Text PDF
January 2016

Update on endoscopic endonasal resection of skull base meningiomas.

Int Forum Allergy Rhinol 2015 Apr 22;5(4):344-52. Epub 2014 Dec 22.

Department of Otolaryngology, St. Louis University Hospital, St. Louis, MO.

Background: The objective of this work was to report success rates as well as potential obstacles in transnasal endoscopic resection of anterior skull base meningiomas.

Methods: The study design was a case series with chart review at tertiary referral centers in South Australia and New Zealand. The patients were 37 consecutive patients who underwent endoscopic resection of skull-base meningiomas between 2004 and 2013. Read More

View Article and Full-Text PDF

[Assessment of optic nerve decompression efficiency in resection of sellar region meningiomas via intradural subfrontal approach].

Zh Vopr Neirokhir Im N N Burdenko 2014 ;78(4):14-30

In this article we analyze results of the different variants of the optic nerve transcranial decompression in cases with different chiasmal region tumors. We operate 70 patient with different type meningioma (tuberculum sella, shenoid wings, anterior clinoid, optic canal), pituitary adenoma and one case with tuberculoma (we operate it thinking on meningioma, but histology was unexpected). Groups of the patients. Read More

View Article and Full-Text PDF
December 2014

Endoscopic supraorbital eyebrow approach for the surgical treatment of extraaxialand intraaxial tumors.

Neurosurg Focus 2014 ;37(4):E20

Centre for Minimally Invasive Neurosurgery, Prince of Wales Private Hospital, Sydney, Australia.

Object: The supraorbital eyebrow approach is a minimally invasive technique that offers wide access to the anterior skull base region and parasellar area through asubfrontal corridor. The use of neuroendoscopy allows one to extend the approach further to the pituitary fossa, the anterior third ventricle, the interpeduncular cistern, the anterior and medial temporal lobe, and the middle fossa. The supraorbital approach involves a limited skin incision, with minimal soft-tissue dissection and a small craniotomy, thus carrying relatively low approach-related morbidity. Read More

View Article and Full-Text PDF

The 1-piece transbasal approach: operative technique and anatomical study.

J Neurosurg 2014 Dec 26;121(6):1446-52. Epub 2014 Sep 26.

Departments of Neurological Surgery and.

Object: The transbasal approach (TBA) is an anterior skull base approach, which provides access to the anterior skull base, sellar-suprasellar region, and clivus. The TBA typically involves a bifrontal craniotomy with orbital bar and/or nasal bone osteotomies performed in 2 separate steps. The authors explored the feasibility of routinely performing this approach in 1 piece with a quantitative cadaveric anatomical study, and present an operative case example of their approach. Read More

View Article and Full-Text PDF
December 2014

[Microsurgical resection of anterior clinoid meningiomas-- 46 cases report].

Zhonghua Wai Ke Za Zhi 2014 Apr;52(4):271-5

Department of Neurosurgery, the First Affilliated Hospital of Guangxi Medical University,Nanning 530021, China.

Objective: To investigate the microsurgical tchniques and effects for the resection of anterior clinoid meningioma (ACM).

Methods: Between January 2003 and March 2013, a total of 46 ACM patients were operated on via the pterion approach or lateral subfrontal approach. There were 16 male patients and 30 female patients, their mean age was 48. Read More

View Article and Full-Text PDF

Modified one-piece extended transbasal approach for translamina terminalis resection of retrochiasmatic third ventricular craniopharyngioma.

James K Liu

Neurosurg Focus 2013 Jan;34(1 Suppl):Video 1

Department of Neurological Surgery, Center for Skull Base and Pituitary Surgery, Neurological Institute of New Jersey, University of Medicine and Dentistry of New Jersey, New Jersey Medical School, Newark, New Jersey 07101, USA.

Retrochiasmatic third ventricular craniopharyngiomas are formidable tumors to remove surgically. Access to the third ventricle can be achieved through the lamina terminalis corridor. A skull base approach to the lamina terminalis can be performed using either an anterolateral approach (orbitozygomatic, pterional, supraorbital) or a midline approach (extended transbasal, subfrontal). Read More

View Article and Full-Text PDF
January 2013

The combined interhemispheric subcommissural translaminaterminalis approach for large craniopharyngiomas.

World Neurosurg 2013 Jul-Aug;80(1-2):160-6. Epub 2012 Aug 13.

Department of Neurosurgery, Vita-Salute University, San Raffaele Scientific Institute, Milan, Italy.

Objective: We describe a variant of the interhemispheric translaminaterminalis approach for the resection of large suprasellar craniopharyngiomas. The approach is a translaminaterminalis route performed below and above the anterior communicating artery (ACoA). A cadaveric microanatomic study was conducted to describe the surgical technique. Read More

View Article and Full-Text PDF
November 2013

Endoscopic endonasal resection of anterior skull base meningiomas.

Otolaryngol Head Neck Surg 2012 Sep 30;147(3):575-82. Epub 2012 Apr 30.

Department of Otolaryngology, The Queen Elizabeth Hospital, South Australia, Australia.

Objective: Anterior cranial fossa (ACF) meningiomas are difficult to surgically manage. Endoscopic transnasal approaches have increasingly been used as a minimally invasive route and thus offer significant advantages. However, a paucity of literature describing the intraoperative challenges and postoperative outcomes of this technique still exists. Read More

View Article and Full-Text PDF
September 2012

Minimally invasive transfrontal sinus approach to resection of large tumors of the subfrontal skull base.

Laryngoscope 2011 Nov;121(11):2290-4

Otolaryngology and Facial Plastic Surgery Associates, Fort Worth, Texas, USA.

Objectives/hypothesis: To review our favorable experience with a minimally invasive transfrontal sinus approach to tumors of the subfrontal region.

Study Design: Retrospective review in a tertiary care referral practice.

Methods: Patients undergoing anterior skull base surgery by the senior author (Y. Read More

View Article and Full-Text PDF
November 2011

[Microsurgical removal of olfactory groove meningiomas].

Zhonghua Zhong Liu Za Zhi 2011 Jan;33(1):70-5

Department of Neurosurgery, Union Hospital, Fujian Medical University, Fuzhou 350001, China.

Objective: To explore an effective method for further improving the surgical results of treatment of olfactory groove meningiomas.

Methods: Sixty seven cases of olfactory groove meningiomas were treated by microneurosurgery, among which fifty seven were de novo cases, eight were recurrent tumors and the other two re-recurrent cases. Modified Derome approach was used in 12 cases, bilateral subfrontal approach in 28 cases, modified pterional approach in 21 cases and unilateral subfrontal approach in six cases. Read More

View Article and Full-Text PDF
January 2011

[Microneurosurgical treatment of massive tuberculum sellae meningiomas].

Zhonghua Yi Xue Za Zhi 2011 Jan;91(1):44-7

Department of Neurosurgery, Cancer Institute & Hospital Chinese Academy of Medical Sciences, Beijing 100021, China.

Objective: To summarize the characteristics of the pathological anatomy and blood supply model of massive tuberculum sellae meningiomas (MTSM) and explore its corresponding microneurosurgical strategies.

Methods: The clinical data of 16 MTSM patients were reviewed retrospectively. From January 1998 to January 2010, according to their unique pathological anatomy and blood supply model, all patients underwent microneurosurgical removal with induced hypotension through tumor corridor by the bi-subfrontal anterior longitudinal fission (n = 14), right frontolateral approach (n = 1) and pterional approach (n = 1). Read More

View Article and Full-Text PDF
January 2011

[Operative neurosurgery: personal view and historical backgrounds (7) reappraisal of approaches].

No Shinkei Geka 2010 Nov;38(11):1031-45

klinik im Park Zürich, Kantonsspital Aarau CH.

Selection of an appropriate approach is one of the most important factors for the success in neurosurgery, so the following approaches were reappraised in this session by giving examples from recent cases. Their standard use has already been mentioned elsewhere in the series: 1. Selective extradural anterior clinoidectomy SEAC was once more discussed: 1. Read More

View Article and Full-Text PDF
November 2010

[Microsurgical removal of huge tuberculum sellae meningiomas through bi-subfrontal anterior longitudinal fission approach].

Nan Fang Yi Ke Da Xue Xue Bao 2010 Jul;30(7):1688-90

Department of Neurosurgery, Nanfang Hospital, Southern Medical University, Guangzhou 510515, China.

Objective: To summary the microsurgical techniques for removal of huge tuberculum sellae meningiomas through the bi-subfrontal anterior longitudinal fission approach.

Methods: Eleven patients with huge tuberculum sellae meningiomas underwent microsurgical removal of the meningiomas between January, 2005 and November, 2009. The microsurgical techniques were summarized, and the factors affecting the prognosis were analyzed. Read More

View Article and Full-Text PDF

The minimally invasive supraorbital subfrontal key-hole approach for surgical treatment of temporomesial lesions of the dominant hemisphere.

Minim Invasive Neurosurg 2009 Aug 16;52(4):163-9. Epub 2009 Oct 16.

Neurosurgical Department, University Hospital Zurich, Zurich, Switzerland.

Introduction: Surgery in the temporomesial region is generally performed using a subtemporal, transtemporal, or pterional-transsylvian approach. However, these approaches may lead to approach-related trauma of the temporal lobe and frontotemporal operculum with subsequent postoperative neurological deficits. Iatrogenic traumatisation is especially significant if surgery is performed in the dominant hemisphere. Read More

View Article and Full-Text PDF

[Extended subfrontal approach to the central cranial base - analysis of the surgical technique in cadaver simulation].

Neurol Neurochir Pol 2009 Jan-Feb;43(1):59-70

Katedra i Oddział Kliniczny Neurochirurgii, Slaski Uniwersytet Medyczny w Katowicach, Wojewódzki Szpital Specjalistyczny nr 5 im. oew. Barbary, Pl. Medyków 1, 41-200 Sosnowiec, Poland.

The aim of the study was to present consecutive stages of the extended subfrontal approach (ESA). Eight simulations of ESA were performed on non-fixed human cadavers without any known pathologies in the head and neck. The consecutive stages of the procedure were documented with photographs and schematic diagrams. Read More

View Article and Full-Text PDF

Craniopharyngioma: surgical experience of 309 cases in China.

Clin Neurol Neurosurg 2008 Feb 3;110(2):151-9. Epub 2007 Dec 3.

Department of Neurosurgery, Fuxing Hospital, Capital University of Medical Science, Brain Science Institute of Beijing, Beijing 100038, PR China.

Objective: The objective of the present study was to retrospectively review the surgical outcome of 309 craniopharyngioma cases treated by a single neurosurgeon in China.

Patients And Methods: A total of 309 cases of craniopharyngioma that were treated surgically from January 1996 to May 2006. Among them, 162 (52. Read More

View Article and Full-Text PDF
February 2008

Tuberculum and diaphragma sella meningioma--surgical technique and visual outcome in a series of 20 cases operated over a 2.5-year period.

Acta Neurochir (Wien) 2007 Dec 29;149(12):1199-204; discussion 204. Epub 2007 Oct 29.

Tel Aviv Medical Center, Department of Neurosurgery, Sackler School of Medicine, Tel-Aviv University, Tel Aviv, Israel.

Background: A retrospective analysis of 20 cases of tuberculum sella meningioma with emphasis on the surgical technique and visual outcome.

Methods: Between 2003 and 2006 twenty patients with tuberculum and diaphragma sella meningioma were treated at the Tel Aviv medical center. There were 17 females and 3 males. Read More

View Article and Full-Text PDF
December 2007

Microsurgical treatment of craniopharyngiomas: report of 284 patients.

Chin Med J (Engl) 2006 Oct;119(19):1653-63

Department of Neurosurgery, Brain Science Institute of Beijing, Fuxing Hopital, Capital Medical University, Beijing 100038, China.

Background: Generally, total surgical removal of craniopharyngioma results in satisfactory outcome with a low recurrence rate, however, the location of the tumor and its adherence to the hypothalamic structures can make the operation difficult. The goal of the present study was to assess the outcome of craniopharyngiomas in 284 patients treated surgically.

Methods: A total of 284 patients (151 men and 133 women) with craniopharyngioma were treated surgically by our neurosurgeons from January 1996 to March 2006. Read More

View Article and Full-Text PDF
October 2006

Minimally invasive keyhole approaches for removal of tumors of the third ventricle.

Chin Med J (Engl) 2006 Sep;119(17):1444-50

Department of Neurosurgery, Second Affiliated Hospital, Suzhou University, Suzhou 215004, China.

Background: In recent years, keyhole microsurgery has become an important subject of modern minimally invasive neurosurgery. In this study, minimally invasive techniques avoiding unnecessary tissue injuries were applied to refine traditional approaches for the removal of third ventricular tumors within a limited operative filed.

Methods: Individualized keyhole approaches were designed according to the characteristics of third ventricular tumors and their growth patterns. Read More

View Article and Full-Text PDF
September 2006

Resection of giant meningiomas of the anterior cranial fossa using orbital osteotomies.

J Neurosurg Sci 2005 Sep;49(3):77-84

Department of Neurosurgery, School of Medicine, University of Patras, Patras, Greece.

Aim: The challenge in large cranial base meningiomas is total resection of the tumor with the least possible mortality and morbidity. During the last two decades the technical approaches for anterior skull base tumors have shown a considerable progress, providing a wide exposure with minimal brain retraction. The purpose of this study is to present our experience with these approaches for treatment of giant anterior cranial fossa meningiomas. Read More

View Article and Full-Text PDF
September 2005