Department of Neurosurgery, Chang Gung Memorial Hospital, Keelung, Taiwan.
J Clin Neurosci. 2010 Dec;17(12):1510-4. doi: 10.1016/j.jocn.2010.04.025.
We evaluated treatment of patients with anterior cranial base lesions with supraorbital keyhole surgery. Limited supraorbital craniotomy through an eyebrow skin incision was performed on 21 adult patients between August 2007 and January 2009 at one institution. Each patient's cosmesis was evaluated after the operation using a visual analog scale for cosmesis (VASC). Thirteen patients were treated for ruptured intracranial aneurysms and eight patients for mass lesions in the anterior cranial fossa. The mean follow-up duration was 16.5 months. No identifiable neurological or vascular complications related to this procedure were noted during follow-up; however, two patients died from causes unrelated to the procedure. Of the 19 patients who were followed-up, 89% of patients, and 84% by physician evaluation, were satisfied with the cosmetic result, noting > 75 mm on the VASC. Anterior cranial fossa lesions can be adequately and safely treated via a minimally invasive supraorbital craniotomy when performed on suitable patients by an experienced surgeon. This approach decreases brain manipulation and results in a pleasing cosmetic outcome while minimizing the likelihood of procedure-related morbidity.
我们评估了眶上锁孔手术治疗颅前底病变患者的效果。在一个机构中，2007 年 8 月至 2009 年 1 月期间，对 21 名成年患者进行了眶上经眉切口的有限眶上开颅术。术后每位患者的美容效果均采用美容视觉模拟评分量表（VASC）进行评估。13 例患者因颅内破裂动脉瘤而接受治疗，8 例患者因颅前窝肿块病变而接受治疗。平均随访时间为 16.5 个月。随访期间未发现与该手术相关的可识别的神经或血管并发症；然而，有两名患者因与手术无关的原因死亡。在接受随访的 19 名患者中，89%的患者（医生评估为 84%）对美容效果满意，VASC 评分>75mm。经验丰富的外科医生对合适的患者进行微创眶上开颅术可以安全有效地治疗颅前窝病变。这种方法减少了对大脑的操作，产生了令人满意的美容效果，同时最大限度地降低了与手术相关的发病率。
