Letter to the Editor: "Exploring optimal microscopic keyhole access to the skull base: an anatomical evaluation of transciliary supraorbital and transpalpebral orbitofrontal craniotomy approaches".

This letter to the editor examines the recent comparative study by Santos et al. (2024) on transciliary supraorbital (TCA) and transpalpebral (TPA) approaches for skull base access. The original article offers valuable insights into the anatomical distinctions and potential clinical applications of each approach. The letter praises the methodical analysis presented in the study while proposing future directions incorporating advanced imaging technologies and expanded clinical trials to enhance surgical precision and outcomes. Additionally, it suggests integrating longitudinal studies to evaluate patient outcomes, thereby refining the procedural choice based on specific clinical scenarios.