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Acta Neurochirurgica

, Volume 161, Issue 1, pp 133–137 | Cite as

Transpalpebral approach in skull base surgery: how I do it

  • Revaz Semenovich Dzhindzhikhadze
  • Oleg Nikolaevich Dreval
  • Valeriy Aleksandrovich Lazarev
  • Andrey Victorovich PolyakovEmail author
How I Do it - Vascular Neurosurgery - Aneurysm
  • 63 Downloads
Part of the following topical collections:
  1. Vascular Neurosurgery – Aneurysm

Abstract

Background

Keyhole surgery has been actively developing in the last two decades. Modern neuroimaging, preoperative individual planning, and innovative neurosurgical equipment allow us to operate through mini craniotomy with minimization of approach-related complications.

Method

Preoperative planning is very critical. After the patient positioning, skin incision, craniotomy, and dura incision are performed. Intradural lesion is reached with standard microneurosurgical technique. A watertight dura closure is important.

Conclusion

Transpalpebral approach can be good alternative to traditional, extended fronto-lateral craniotomies with excellent cosmetic and functional outcomes. Adequate selection of patients is important.

Keywords

Keyhole Transpalpebral approach Cerebral aneurysms Skull base surgery Minimally invasive neurosurgery 

Notes

Compliance with ethical standards

Conflict of interests

The authors declare that they have no conflict of interest.

All patient consent

The patients have consented to the submission of this How I Do It for submission to the journal.

Supplementary material

Video 1

File « Transpalpebral approach example (Part 1) »: example of transpalpebral approach from skin incision to craniotomy (MP4 334684 kb)

Video 2

File « Left ICA aneurysm clipping, TPA (Part 2) »: video shows left internal carotid artery aneurysm clipping through transpalpebral approach (MP4 391438 kb)

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Copyright information

© Springer-Verlag GmbH Austria, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Neurosurgery FGBOU DPO RMANPOThe Ministry of HealthMoscowRussian Federation
  2. 2.City Clinical Hospital Named After F.I. InozemtsevaMoscowRussian Federation
  3. 3.Podolsk CityRussia

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