Lateral Supraorbital Approach Versus Classic Pterional Approach In Suprasellar Meningiomas Regarding Accessibility and Safety | ||
| The Medical Journal of Cairo University | ||
| Article 150, Volume 86, December, December 2018, Pages 4633-4640 PDF (721.47 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/mjcu.2018.65673 | ||
| Author | ||
| AHMED A. ABD EL-KHALEK, M.D.; MOHAMED SHABAN, M.D. | ||
| The Department of Neurosurgery, Faculties of Medicine, Cairo* and Beni-Suif** Universities | ||
| Abstract | ||
| Abstract Background: Minimally invasive Lateral Supraorbital Approach (LSO) is a modified classic pterional approach with advantages of a shorter skin incision and small craniotomy as compared with the pterional approach. Aim of Study: To present our surgical experience in distinguishing between Lateral Supraorbital Approach [LSO] and conventional pterional approach regarding accessibility and safety in suprasellar meningioma. Patients and Methods: This is a retrospective study of 19 cases who were diagnosed with suprasellarmeningiomas and were operated between March 2011 to March 2015 in Cairo University Hospital, and Beni-Sueif University Hospital. The patient was divided into two groups, group A (8 cases) operated via LSO, and group B (11 cases) managed via conventional pterional approach with follow-up period for one year the follow-up images were done immediately post-operative then every six months till 12 months. Results: Complete resection was obtained in 7 cases (75%) in group A, while it was in 8 cases (72.6%) within group B, visual acuity improvement in group A was in 4 cases (50%), in group B it was in 6 cases (54%). Vision unchanged in 3 cases (3 7.5%) group A, and in 4 cases (365%) group B. Vision deteriorated in one case (12,5%) in group A, and in 1 case (9.5%) group B. Transient diabetes insipidus was in only one case (9.5%) group B and no cases in group A. Conclusion: LSO approach is safe, less invasive and provides same accessibility to suprasellarmeningiomas as compared to classic pterional approach. | ||
| Keywords | ||
| Lateral supraorbital – Pterional – Suprasellar-meningiomas | ||
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