{"id":"00f39f1c-5c18-4b86-93da-bb0d8c69e210","slug":"the-transpalpebral-approach-eyelid-incision-for-surgical-management-of-intracranial-tumors-a-10-years-experience","title":"The transpalpebral approach “eyelid incision” for surgical management of intracranial tumors: A 10-years’ experience","authors":["Mohamed Elnokaly","Gordon Mao","Khaled A. Aziz"],"abstract":"Background: The minimally invasive approaches to the anterior skull base region through fronto-orbital craniotomy remain a highly accepted option that gains countenance and predilection over time. The transpalpebral “eyelid” incision is an under-utilized and more recent technique that offers a safe efficient corridor to manage a wide variety of lesions. Methods: We carried a retrospective study of 44 patients operated on by the fronto-orbital craniotomy through transpalpebral “eyelid” incision for intracranial tumors, in the time period from March 2007 to July 2016. The results from surgeries were analyzed; extent of tumor resection, length of hospital stay, cosmetic outcome, and complications. Results: Out of the 44 intracranial tumor cases, we had 16 male and 28 female patients with median age 54 years. We had 19 anterior skull base lesions, 8 middle skull base lesions and 8 parasellar lesions. We also operated on four frontal intraparenchymal lesions and four other various lesions. Total resection was achieved in 32 cases (72.7%), with excellent cosmetic outcome in 43 cases (97.7%). Average hospital stay was 6 days. No major complications recorded. Three cases (6.8%) had complications that varied between pseudomeningocele, wound infections, and facial pain. Follow-up average period was 23.6 months. Conclusion: The fronto-orbital approach through eyelid incision remains a reliable approach to the skull base. It provides natural anatomical dissection planes through the eyelid incision and a fronto-orbital craniotomy, creating a wide surgical corridor to manage specific lesions with consistent surgical and cosmetic outcome.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/00f39f1c-5c18-4b86-93da-bb0d8c69e210/featured/hero-1781563329936.png","publishDate":"2020-07-11T00:00:00.000Z","doi":"10.25259/SNI_200_2020","categories":["Skull Base","Original Article"],"fullTextUrl":"https://surgicalneurologyint.com/wp-content/uploads/2020/07/10128/SNI-11-186.pdf"}