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  • Title: The supraorbital approach--a minimally invasive approach to the superior orbit.
    Author: Hassler W, Schick U.
    Journal: Acta Neurochir (Wien); 2009 Jun; 151(6):605-11; discussion 611-2. PubMed ID: 19350201.
    Abstract:
    BACKGROUND: We present a minimally invasive approach to the superior orbit via an eyebrow incision with a small osteotomy, minimal orbital rim resection and small frontal craniotomy. METHODS: This approach was used in 20 patients with a well-defined intra-and extraconal lesion superior to the optic nerve, who underwent surgery between 2000 and 2007. RESULTS: This approach is purely extradural with minimal brain and orbital retraction. The size of the lesion was not a limiting factor. Sensory deficits in the territory of the supraorbital nerve resolved within 7 months on average. CONCLUSION: This approach presents a combination of an extra-and transcranial approach, which is indicated in all orbital lesions superior to the optic nerve. The clinical and cosmetic results are excellent.
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