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August 12, 2026Acta NeurochirurgicaOpen Access

Cranio-orbital craniotomy via an eyebrow incision for resection of anterior clinoid and tuberculum sella meningiomas

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Authors

RRRobert RiestenbergJLJonathan B. LamanoKLKeira Lightbody

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Overview

Randomized trial demonstrates the effectiveness of cranio-orbital craniotomy for resection of meningiomas, suggesting improved safety outcomes.

Key Points

  • The aim is to evaluate the safety and efficacy of a modified cranio-orbital craniotomy compared to traditional approaches for resecting anterior skull base tumors.
  • Included patients diagnosed with anterior clinoid or tuberculum sella meningiomas treated with modified cranio-orbital or traditional fronto-orbital craniotomy.
  • Conducted literature review of other surgical approaches including transcranial and endoscopic endonasal methods.
  • Compared visual outcomes, extent of resection, and complications among treatment groups.
  • In the modified cranio-orbital group, 2 out of 4 patients with preoperative visual deficits showed improvement post-surgery (p=0.43).
  • The extent of resection was equivalent between modified cranio-orbital and fronto-orbital approaches.
  • Complications related to superficial tissue dissection occurred less frequently in the modified cranio-orbital group (p=0.03).

Cite This Study

Riestenberg et al. (2026) studied this question.

synapsesocial.com/papers/6a7c20a306a85aed514b7852https://doi.org/10.1007/s00701-026-06997-y
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Endoscopic Endonasal Versus Endoscopic Supraorbital Keyhole Surgery for Craniopharyngioma Resection: A 15-Year Single-Center Retrospective Cohort Study2026
  2. 2Outcome of modified keyhole craniotomy for orbital tumors: Technical note for retrospective case series2026
  3. 3Extended Endoscopic Endonasal Approach for Tuberculum Sella Meningiomas: Lessons Learned2024
  4. 4Clinical application of transcranial neuroendoscopy combined with supraorbital keyhole approach in minimally invasive surgery of the anterior skull base2024 · 5 citations
  5. 5Endoscopic Transorbital Anterior Clinoidectomy: Surgical Anatomy and Step-wise Technique2026