Abstract
Background: Suprasellar or sphenoid ridge meningioma often invade cavernous sinus, internal carotid artery, and extracranial regions such as the paranasal sinus. Of course the principle for treatment of meningioma is complete resection, but we are rarely able to remove tumors perfectly by the frontotemporal approach alone because of the neurovascular anatomical complexity of this area. We consider that combining a frontotemporal approach with the transnasal approach gives us an expanded capability to treat these tumors.
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