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In the majority of cases, tuberculum sellae meningiomas extend into 1 or both OCs. Opening the OC for resection of the intracanalicular portion of the tumor enabled us to achieve excellent visual outcome. The supraorbital craniotomy remains the favored approach for removal of such tumors because it allows unroofing of both OCs, wide excision of the dura, and drilling of the affected bone.
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Gamal et al. (2010) studied this question.
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