The Extended Transorbital Upper Lid Crease Craniotomy: A Less Invasive Alternative to the Supraorbital Craniotomy

Abstract

Background: Surgical pathway innovation and technological advances have combined to allow major advances in the surgeon's ability to reduce collateral damage. Notable examples include keyhole craniotomies such as the transciliary supraorbital craniotomy. This approach is considered to be “minimally invasive” but can create significant cosmetic deformity and frontalis muscle palsy. Alternatively, we have developed a technique that creates no visible scars, reduces the neuromuscular trauma, and diminishes the size of the craniotomy while enlarging the potential surgical access and reducing brain retraction.