title: Transglabellar approach for resection of anterior midline skull base meningiomas: technical note.
abstract: BACKGROUND
  We describe our experience of minimally invasive approach of the anterior skull base through the transglabellar approach.
  
  
  METHODS
  The technical details of the transglabellar approach are described in this article as we have been using it for the past 3 years. After an inter-eyebrow skin incision, the scalp is elevated allowing the creation of a 3-cm bone flap in the frontal sinus, which gives direct access to the anterior midline skull base. Removal of the tumour is carried out without brain retraction. The closure requires obstruction of nasofrontal ducts and sinus mucosa removal.
  
  
  RESULTS
  We operated on 24 patients using this approach. The tumour was completely removed in every case. We reported one case of meningitis and three cerebrospinal fluid leaks. Every patient was satisfied with the aesthetic results.
  
  
  CONCLUSIONS
  The transglabellar approach is a reasonably easy and efficient way to resect anterior midline skull base meningiomas.
authors.affiliation: Service de Neurochirurgie, CHU Reims, 45 rue Cognacq Jay, 51100, Reims, France, jean-charles.kleiber@neurochirurgie.fr.
authors.forename: Jean-Charles
authors.initials: JC
authors.lastname: Kleiber
authors.forename: Segolene
authors.initials: S
authors.lastname: Roemer
authors.forename: Julien
authors.initials: J
authors.lastname: Duntze
authors.forename: Christophe
authors.initials: C
authors.lastname: Eap
authors.forename: Etienne
authors.initials: E
authors.lastname: Theret
authors.forename: Pascal
authors.initials: P
authors.lastname: Rousseaux
authors.forename: Fabien
authors.initials: F
authors.lastname: Litre
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008297:Male; D008577:Meningeal Neoplasms / Q000601:surgery*; D008579:Meningioma / Q000601:surgery*; D008581:Meningitis / Q000209:etiology; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000009:adverse effects / Q000379:methods*; D019635:Neurosurgical Procedures / Q000009:adverse effects / Q000379:methods*; D019291:Skull Base / Q000601:surgery; D019292:Skull Base Neoplasms / Q000601:surgery*