Supraorbital Keyhole Approach—A Minimally Invasive Versatile Approach to Skull Base Lesions

Abstract Context Over the last two decades, there have been development of approaches that are minimally invasive but achieve maximum effective results with minimal morbidity. The supraorbital keyhole approach (SOKHA) through transciliary incision is permits management skull base lesions injury to soft tissue and surrounding brain. Aims aim this study was evaluate efficacy safety SOKHA for lesions. Settings Design This a prospective in tertiary neurosurgical teaching institute metropolitan city. Materials Methods Twenty-one patients various pathology were operated using “eye-brow incision.” pathologies included pituitary adenoma, craniopharyngioma, epidermoid, tuberculum sella, planum sphenoidale meningioma. authors describe detail surgical employed by them these pathologies. Results All neoplastic series could be addressed effectively near total or excision. No fresh postoperative deficits noted except case who developed ipsilateral anterior cerebral artery infarction resulted lower limb weakness. One patient abscess requiring At follow-up, all revealed cosmetic scar hidden eye brow. Conclusions an procedure proven anterior, selected middle provide excellent cosmesis trauma adjacent authors, however, feel it technically demanding surgeons should employ stepwise progression from simple more complex