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CC BY-NC-ND 4.0 · J Neurol Surg Rep 2023; 84(02): e40-e45
DOI: 10.1055/a-2060-5534
Case Report

Modified Trans-Sinusal Transglabellar Approach for Anterior Cranial Fossa Meningiomas: Technical Note and Literature Review

Bruno Lobo Mota de Siqueira
1   Department of Neurosurgery, Medical Residency Program, University of Pernambuco, Hospital da Restauração, Recife, Brazil
,
Luiz Euripedes Almondes Santana Lemos
1   Department of Neurosurgery, Medical Residency Program, University of Pernambuco, Hospital da Restauração, Recife, Brazil
,
Maysa Gomes Ferreira de Araújo
2   University of Pernambuco, Pernambuco, Brazil
,
Rhuann Pontes dos Santos Silva 
3   Catholic University of Pernambuco, Pernambuco, Brazil
,
Mayle Gomes Ferreira de Araújo
1   Department of Neurosurgery, Medical Residency Program, University of Pernambuco, Hospital da Restauração, Recife, Brazil
,
Fabíola Gissel Cortez
1   Department of Neurosurgery, Medical Residency Program, University of Pernambuco, Hospital da Restauração, Recife, Brazil
,
Hildo Rocha Cirne de Azevedo Filho
1   Department of Neurosurgery, Medical Residency Program, University of Pernambuco, Hospital da Restauração, Recife, Brazil
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Abstract

Introduction Currently, skull base surgery faces the dilemma of achieving the maximum possible tumor resection through less aggressive approaches and with minimal retraction of brain tissue. The objective of this work is to report a minimally invasive step-by-step approach to anterior cranial fossa tumors and to perform a literature review.

Methods In our work, we describe a step-by-step approach, with images, which is a variation of the transglabellar approach.

Results In all cases, we achieved maximum total resection of the lesion. There were no postoperative complications related to the surgery. In one case, we used the access to remove a foreign body in the frontal lobe.

Conclusion The frontal trans-sinusal transglabellar access allows direct access to anterior cranial fossa tumors and other frontal lobe lesions close to the floor of the anterior fossa, without the need for brain retraction, allowing early devascularization of the tumor. However, this access is not recommended for all types of tumors, and is being improved for more anteriorly located lesions.

Keywords

trans-sinusal approach - transglabellar approach - anterior cranial fossa meningiomas - neuro-oncology


Publication History

Received: 05 July 2022

Accepted: 20 October 2022

Accepted Manuscript online:
22 March 2023

Article published online:
12 April 2023

© 2023. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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