Minimally invasive craniotomies for lesions of the anterior and middle fossa

Neurosurg Rev. 2022 Oct;45(5):3149-3156. doi: 10.1007/s10143-022-01850-z. Epub 2022 Aug 22.

Abstract

Minimally invasive craniotomies are the subject of increasing attention over the last two decades in neurosurgery, following the current trend of attempting to increase patient safety by providing surgeries with less tissue disruption, blood loss, and decreased operative time. However, a significant information overlap exists among the various keyhole approaches regarding their indications and differences with more invasive techniques. Therefore, the present study aims to comprehensively review, illustrate, and describe the potential benefits and disadvantages of minimally invasive techniques to access the anterior and middle fossa, including the mini-pterional, mini orbito-zygomatic, supraorbital, lateral supraorbital, and extended lateral supraorbital approaches while comparing them to classic, more invasive approaches.

Keywords: Craniotomies; Minimally invasive craniotomies; Neurosurgical approaches.

Publication types

  • Review

MeSH terms

  • Cadaver
  • Craniotomy* / methods
  • Humans
  • Minimally Invasive Surgical Procedures / methods
  • Neurosurgical Procedures* / methods
  • Operative Time