The midface degloving approach for intracranial tumours

Although many approaches to the anterior clivus and parasellar region have been described, safe access to this area remains difficult. The authors describe the use of the midface degloving approach as a route for resection of intracranial lesions of the anterior skull base. Six cases are presented:...

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Bibliographic Details
Published in:British journal of neurosurgery 2001-04, Vol.15 (2), p.109-115
Main Authors: ALLIBONE, J. B, CASEY, A. T, POWELL, M, CHEESEMAN, A. D
Format: Article
Language:English
Subjects:
Adult
Biological and medical sciences
Brain
Cranial Nerve Neoplasms - surgery
Cushing Syndrome - surgery
Female
Follow-Up Studies
Head and Neck Neoplasms - diagnosis
Head and Neck Neoplasms - surgery
Humans
Magnetic Resonance Imaging
Male
Medical sciences
Meningeal Neoplasms - diagnosis
Meningeal Neoplasms - surgery
Meningioma - diagnosis
Meningioma - surgery
Middle Aged
Midface Degloving Approach Skull Base Tumour
Neurosurgery
Neurosurgical Procedures
Skull, brain, vascular surgery
Surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Trigeminal Nerve Diseases - surgery
Tumors
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Description
Summary:Although many approaches to the anterior clivus and parasellar region have been described, safe access to this area remains difficult. The authors describe the use of the midface degloving approach as a route for resection of intracranial lesions of the anterior skull base. Six cases are presented: two sellar meningiomas, a trigeminal neuroma, a pituitary adenoma, fibrous dysplasia and fibrosis of the trigeminal nerve within Meckel's cave. The midface degloving approach has allowed excellent exposure, avoids any visible scarring and obviates the need for craniotomy. The approach is a useful adjunct to the armamentarium of the surgeon operating in this area and indeed may allow removal of lesions that could not safely be removed transcranially.
ISSN:0268-8697
1360-046X
DOI:10.1080/02688690120036784