Department of Otorhinolaryngology and Cervicofacial Surgery, University Medical Centre Ljubljana, Zaloška 2, 1000 Ljubljana, Slovenia.
Faculty of Medicine, University of Ljubljana, Vrazov trg 2, 1000 Ljubljana, Slovenia.
Curr Oncol. 2024 Sep 5;31(9):5233-5241. doi: 10.3390/curroncol31090387.
(1) Background: The transglabellar approach, a type of transfacial technique, typically involves glabellar resection and opening the frontal sinus via a bicoronal incision, providing access to the anterior cranial vault. To prevent complications, the frontal sinus is typically obliterated. However, the success of transnasal endoscopic techniques has prompted a re-evaluation of these traditional methods. (2) Methods: This paper provides a brief literature review and discusses the removal of an elongated glioma of the left gyrus rectus (4.4 × 1.9 × 2.2 cm) in a 63-year-old male using a transglabellar subfrontal approach via a butterfly incision, with frontal sinus preservation. (3) Results: An uneventful gross-total resection of a WHO grade II oligodendroglioma was achieved. There is a paucity of literature describing a transglabellar subfrontal approach via a butterfly incision with frontal sinus preservation. (4) Conclusions: The described approach could be utilized in selected cases such as small intra-axial lesions oriented longitudinally along the inferomedial frontal lobe from the posterior wall of the frontal sinus to the anterior communicating artery complex in patients with pre-existing glabellar rhytids. Since this is merely a case presentation, we cannot conclude that this represents established clinical practice. The outcomes of this approach should be investigated in the future.
(1) 背景：经眉弓入路(transglabellar approach)是一种经面(transfacial)技术，通常涉及眉间切除和通过冠状切口打开额窦，以进入前颅窝。为了防止并发症，额窦通常被破坏。然而，经鼻内镜技术的成功促使人们重新评估这些传统方法。
(2) 方法：本文提供了简短的文献回顾，并讨论了使用经眉弓额下入路（蝶形切口）保留额窦，成功切除 1 例 63 岁男性左侧直回延长性胶质瘤（4.4×1.9×2.2cm）。
(3) 结果：实现了世界卫生组织（WHO）II 级少突胶质细胞瘤的无并发症大体全切除。描述经眉弓额下入路（蝶形切口，保留额窦）的文献很少。
(4) 结论：在某些特定情况下，如从额窦后壁到前交通动脉复合体的前内侧额叶的小的颅内病变，且患者存在眉间皱纹，可以采用所描述的方法。由于这只是一个病例报告，我们不能得出这代表既定的临床实践的结论。未来应该研究这种方法的结果。
