전두개와와 터키안 주변부에 발생한 종양에 대한 눈확위접근법

The supraorbital approach for anterior skull base, sella and parasellar tumors

Traditional surgical approaches to brain tumors in anterior skull base were implemented through long skin dissection and large skull bone flap, but these approaches cause significant damage to soft tissue. Today s neurosurgery has been developed with minimal surgical procedure, such as supraorbital approach (SOA), result of the improvement of surgical microscopes, endoscopy, and navigation devices. Compare with traditional pterional approach, the SOA is a safe and effective keyhole method to remove both extraaxial and intraaxial skull base tumors, particularly lesions of the orbitofrontal region and parasellar area allowing for minimal disruption of normal brain parenchyma and promoting a rapid recovery and short hospital stay. The SOA also provide better cosmetic result such as avoiding temporalis muscle atrophy.