Introduction: The eyebrow incision and supraorbital craniotomy approach is specified for anterior skull base and orbitofrontal lesions as a minimal invasive surgical technique. It is a remarkable option for successfull skull base surgery.
Methods: We report 19 patients that were operated with eyebrow incision and supraorbital craniotomy.
Results: In 19 patients (12 females, 7 males) different tumours (4 intraorbital tumours,4 retroorbital meningiomas, 6 olfactor groove meningiomas, 3 sfenoid wing meningiomas, 1 glial tumour and 1 metastatic tumour) were operated with eyebrow incision and supraorbital craniotomy. The avarage follow-up time was 2,7 years. Gross total tumour resection was achieved in 90% patients. The average surgical time was 178 minutes. The avarage hospital stay time was 3 days. No mortality, no new neurological deficit, no cerebrospinal fluid (CSF) fistula and no infection were detected in patients. Patients’ cosmetic satisfaction degree were high.
Conclusions: Eyebrow incision and supraorbital craniotomy approach is safe and shortest way for anterior skullbase and orbitofrontal lesions. The advantages of this approach are minimal brain retraction, lack of complications and fast recovery.
Patient Care: Minimal brain retraction and lack of complications will improve patient care.
Learning Objectives: The approach that is the shortest way for anterior skull base and orbitofrontal lesions.