Koppe Matthieu, Gleizal Arnaud, Orset Emmanuelle, Bachelet Jean Thomas, Jouanneau Emmanuel, Rougeot Amélie
From the *Maxillofacial Surgery Unit, Groupement Hospitalier Nord, and †Neurosurgery Unit, Groupement Hospitalier Est, Université Claude Bernard, Lyon, France.
J Craniofac Surg. 2013 Sep;24(5):1616-21. doi: 10.1097/SCS.0b013e3182a2d635.
Access to the anterior cranial fossa has traditionally required a large exposure of the surgical field, which can be a source of aesthetic and neurologic morbidity. Minimally invasive surgery approaches have been developed to overcome these adverse effects and was, for a long time, represented by endonasal endoscopic surgery. The superior eyelid crease approach of the anterior cranial fossa with supraorbital osteotomy was described in the early 80s as an interesting alternative to the endonasal approach. This keyhole endoscopic approach allows safe and efficient surgery of the orbit, the anterior cranial fossa, and the mesiotemporal lobe. We successfully treated 10 patients with benign tumors of the anterior cranial fossa, with excellent cosmetic results and no complications. This study presents the surgical technique and its potential indication and limits throughout our experience as well as a review of the literature.
传统上，进入前颅窝需要大面积暴露手术视野，这可能会导致美学和神经方面的并发症。为克服这些不良影响，人们开发了微创手术方法，长期以来，经鼻内镜手术一直是其代表。20世纪80年代初，有人描述了经眶上截骨的前颅窝上睑皱襞入路，作为经鼻入路的一种有趣替代方法。这种锁孔内镜入路允许对眼眶、前颅窝和颞中叶进行安全有效的手术。我们成功治疗了10例前颅窝良性肿瘤患者，取得了极佳的美容效果且无并发症。本研究介绍了我们的手术技术及其潜在适应证和局限性，并对相关文献进行了综述。
