Objective:
@EN The approaches for skull base lesions should allow execllent visualization, minimized
working distance and avoid brain retraction. We consider the supraorbital approach to be the
approach of choice for orbital. anterior and middle cranial fossae lesions. The technique of
procedure is described and reviewed its advantages.
@ES Material & Methods:
@EN the authors reviewed the eleven cases which were operated by supraorbital approach
and one case which were operated by supraorbital bifrontal approach, from May 1992 to May
1996.
@ES Results:
@EN Eleven patients(four case of tuberculum sellae meningiomas, one case of pituitary
macroadenoma, two case of suprasellar germinoma, one case of cavernous hemangioma in the
orbit, two cases of hugh size of craniopharyngiomas, one case of optie and oculomotor nerve
palsy due to compound fracture of orbit) were cured or improved with the supraorbital and
supraorbito-bifrontal approach. But one case of suprasellar germinoma died.
@ES Conclusions:
@EN The supraorbital approach is preferred in lesions of orbital, anterior and middle cranial
fossae, because it minimize brain retraction, shorten the distance of the target of lesions and
provide multiple pathways fr dissection of the lesions. Also this approach may combine with
other skull base approaches.
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