Choosing an anterior midline approach to skull base tumors

Abstract

The purpose of this review is to analyze used anterior midline approaches to the skull base, identify their advantages and disadvantages, and, after reviewing the literature data, submit a developed algorithm for choosing an optimal approach to the approval of colleagues. We provide brief information on approach techniques, indications and contraindications, and advantages and disadvantages as well as analyze international experience of using the discussed approaches. On the basis of literature data, we have developed a prototype algorithm for choosing an optimal approach to medial tumors of the anterior skull base. The situation of choosing an optimal approach reveals the absence of a clear understanding of the boundaries between capabilities and limitations of approaches. To solve this problem, an original prospective study is required.

Microsurgical Excision of Olfactory Groove Meningiomas, Comparative Studies of Different Surgical Approaches

“…This is indicated in Small OGM in midline in location, intracranial and extracranial growth with or without bony hyperostosis. Advantage of this approach is minimal brain traction, direct approach to the anterior cranial fossa, nose and ethmoidal sinuses 11 .…”

“…atrophy and contra lateral papilledema, although originally described in OGMs, occurs in only a small number of patients 11 . These benign, slow-growing tumors frequently achieve large size before detection diagnosed at a late stage, they usually have already reached a large size 2 and are highly vascularized and covered by stretched and swollen brain parenchyma 5,6 .…”