Table of Contents

Lateral supraorbital approach

Supraorbital eyebrow), and lateral approaches

see also Contralateral supraorbital approach.

The lateral supraorbital approach is a minimally invasive modification of the standard pterional approach.

It was extensively and successfully used by Juha Hernesniemi, 1) 2) 3) 4) it avoids the approach through the sylvian fissure (SF) and irrespective of the SF anatomy approaches the aneurysms immediately subfrontally. The SF is only partially open.

Indications

Lateral supraorbital approach indications.

Technique

Lateral supraorbital approach technique.

Videos

Lateral Supraorbital Approach Applied to Anterior Clinoidal Meningiomas Video 1

<html><iframe width=“420” height=“315” src=“https://www.youtube.com/embed/iNwCeUC_Qmk” frameborder=“0” allowfullscreen></iframe></html>

Lateral Supraorbital Approach Applied to Anterior Clinoidal Meningiomas Video 2

<html><iframe width=“420” height=“315” src=“https://www.youtube.com/embed/nv4nQz9-GOc” frameborder=“0” allowfullscreen></iframe></html>

Lateral Supraorbital Approach Applied to Anterior Clinoidal Meningiomas Video 3

<html><iframe width=“420” height=“315” src=“https://www.youtube.com/embed/MLtY89mReO0” frameborder=“0” allowfullscreen></iframe></html>

Lateral Supraorbital Approach Applied to Anterior Clinoidal Meningiomas Video 4

<html><iframe width=“420” height=“315” src=“https://www.youtube.com/embed/23-TucMU--M” frameborder=“0” allowfullscreen></iframe></html>

Case series

Lateral supraorbital approach case series.

References

1)
Hernesniemi J, Ishii K, Niemelä M, Smrcka M, Kivipelto L, Fujiki M, Shen H. Lateral supraorbital approach as an alternative to the classical pterional approach. Acta Neurochir Suppl. 2005;94:17-21. PubMed PMID: 16060236.
2)
Hernesniemi J, Dashti R, Lehecka M, Niemelä M, Rinne J, Lehto H, et al. Microneurosurgical management of anterior communicating artery aneurysms. Surg Neurol. 2008;70:8–28.
3)
Lehecka M, Dashti R, Romani R, Celik O, Navratil O, Kivipelto L, et al. Microneurosurgical management of internal carotid artery bifurcation aneurysms. Surg Neurol. 2009;71:649–67.
4)
Romani R, Laakso A, Niemelä M, Lehecka M, Dashti R, Isarakul P, et al. Microsurgical principles for anterior circulation aneurysms. Acta Neurochir Suppl. 2010;107:3–7.