Supraorbital eyebrow approach a less invasive corridor to lesions of the anterior cranial fossa, parasellar region, and ventral brainstem

The supraorbital eyebrow craniotomy is an anterolateral approach that allows the surgeon to address diverse pathology of the anterior cranial fossa, parasellar region, proximal sylvian fissure, ipsilateral circle of Willis, basal frontal lobe, and ventral brainstem. When supplemented with intracranial endoscopy, lesions of the lateral cavernous sinus, pituitary fossa, contralateral circle of Willis, and ipsilateral retroorbital space may be addressed. The goals of the approach are to treat neurosurgical lesions using a less-invasive technique, limit brain retraction and tissue trauma by exploiting anatomic corridors, offer comparable safety and efficacy relative to standard approaches, and yield a good cosmetic result.