Eyebrow surgery: the supraciliary craniotomy: technical note.
OBJECTIVE
Many approaches have been recommended for the surgical treatment of anterior and middle cranial fossa lesions. The frontobasal approach and its many modifications have been proposed and developed for such situated lesions. An alternative approach is the frontolateral craniotomy through a supraciliary skin incision.


METHODS
This minimally invasive technique, a 2.5 x 3.0 cm craniotomy, just above the eyebrow through a supraciliary incision, is a simple but elegant modification of the traditional approach to the anterior cranial fossa.


RESULTS
A step-by-step description of the approach is offered in this report to facilitate a clear understanding of the lesions treatable with this minimally invasive technique.


CONCLUSIONS
The supraciliary frontolateral keyhole craniotomy is a minimally invasive cosmetic approach that provides excellent exposure to a variety of intracranial lesions. This approach cannot be used for all intracranial pathologies, but is recommended for many anterior and middle cranial fossa lesions.
Jallo
George I
GI
Department of Neurosurgery, Johns Hopkins University, School of Medicine, Baltimore, Maryland 21287, USA. gjallo1@jhmi.edu
Bognár
László
L
D000293:Adolescent; D001254:Astrocytoma / Q000503:physiopathology / Q000601:surgery*; D001860:Bone Plates / Q000592:standards; D002536:Cerebral Arteries / Q000033:anatomy & histology / Q000601:surgery; D035262:Cranial Fossa, Anterior / Q000033:anatomy & histology / Q000473:pathology / Q000601:surgery*; D003399:Craniotomy / Q000379:methods* / Q000592:standards; D004388:Dura Mater / Q000033:anatomy & histology / Q000601:surgery; D005138:Eyebrows / Q000033:anatomy & histology; D005260:Female; D005624:Frontal Bone / Q000033:anatomy & histology / Q000601:surgery*; D005625:Frontal Lobe / Q000033:anatomy & histology / Q000601:surgery; D006801:Humans; D007431:Intraoperative Complications / Q000517:prevention & control; D008279:Magnetic Resonance Imaging; D008488:Medical Illustration; D019060:Minimally Invasive Surgical Procedures / Q000379:methods* / Q000592:standards; D009897:Optic Chiasm / Q000033:anatomy & histology / Q000473:pathology / Q000601:surgery; D019574:Optic Nerve Neoplasms / Q000503:physiopathology / Q000601:surgery*; D011183:Postoperative Complications / Q000209:etiology / Q000503:physiopathology / Q000517:prevention & control; D012658:Sella Turcica / Q000033:anatomy & histology / Q000473:pathology / Q000601:surgery*; D013346:Subarachnoid Space / Q000033:anatomy & histology / Q000601:surgery; D016896:Treatment Outcome