Frontolateral Keyhole Craniotomy Approach To Anterior Cranial Base

Many approaches were recommended for surgical treatment of lesions of the anterior cranial fossa and around the sella; frontal, bifrontal, frontotemporal, and frontolateral craniotomies are the most frequently used approaches. An alternative approach is the frontolateral craniotomy through eyebrow skin incision.Objectives and aim of the work: This study evaluates the techchnique, indications, limitations, advantages and disadvantages of the frontolateral craniotomy through an eyebrow skin incision.Patients and methods: Twenty four patients with different lesions in the anterior cranial fossa and around the sella were studied clinically and radiologically and treated by this minimally invasive technique. The technique is described in details. The postoperative outcome is evaluated with casting light on the specific parameters related to the aforementioned approach.Conclusion: The frontolateral keyhole craniotomy is a minimally invasive cosmetic approach that provides excellent exposure to a variety of anterior cranial fossa and sellar pathologies..