Abstract
Objective: The study was conducted to evaluate the technique and results of the endoscopic supraorbital eyebrow craniotomy for resection of extra-axial skull base lesions.
 Material and Methods: A case study of 70 patients who underwent the endoscopic supraorbital eyebrow approach was conducted. The patients' lesion location, the extent of excision, hospital stay, complications, and cosmetic results were all examined. A 48-hour postoperative CT scan was conducted, followed by a 6-week MRI to check for residuals. Total resection (complete), near-total resection (>90 percent), and subtotal resection (< 90 percent) were the three types of resection rates. At the follow-up appointment, the wound was evaluated for aesthetic reasons as well as any neurological impairment.
 Results: There were 39% male patients and 61.4% female patients. The mean age of the patients was 37 years. Craniopharyngioma (88.57%) was reported in most of the patients. In the majority (93%) of the cases, total resection was performed. No complication was observed in 70% of the patients. 14% of patients reported Diabetes insipidus. No intraoperative complications like bleeding or tissue injury were observed. 88.57% of patients were satisfied with the surgical management.
 Conclusion: With outstanding aesthetic outcomes, the endoscopic supraorbital eyebrow approach is a safe and effective minimally invasive Keyhole method to remove extra-axial anterior skull base and sellar, suprasellar, and parasellar lesions.
Highlights
Krause demonstrated the supraorbital sub-frontal technique on cadavers in 1900 and subsequently skull base meningioma surgery.[1,2] Frazier proposed supraorbital ridge excision for pituitary adenoma surgery in 1913.3 Later, scientists popularized the keyhole surgery for aneurysms and other skull base lesions in 1990.4 This method is confined to the parasellar area when using a microscope, but using an endoscope, we can get access to the middle fossa, anterior and medialPak
Et al: The outcome of Endoscopic Supraorbital Eyebrow Approach: A Case Series Reported from Punjab Institute of Neurosciences (PINS), Pakistan temporal lobes, pituitary fossa, anterior third ventricle, and interpeduncular cistern
Inclusion Criteria Patients who had Craniopharyngioma, meningioma of the anterior skull base, giant pituitary tumors, recurrent sellar or parasellar lesion, or chiasmal gliomas were included in the study
Summary
M. Ishfaq, et al: The outcome of Endoscopic Supraorbital Eyebrow Approach: A Case Series Reported from PINS, Pakistan temporal lobes, pituitary fossa, anterior third ventricle, and interpeduncular cistern. Et al: The outcome of Endoscopic Supraorbital Eyebrow Approach: A Case Series Reported from PINS, Pakistan temporal lobes, pituitary fossa, anterior third ventricle, and interpeduncular cistern The purpose of this strategy is to address the lesions at the skull base with little operational morbidity and the best aesthetic results possible. With a small cosmetically inconspicuous incision, smaller tissue dissection, and a smaller keyhole opening, the endoscopic supraorbital brow approach is a safe and effective minimally invasive approach for removing extra-axial anterior skull base and sellar, suprasellar, and parasellar lesions with fewer postoperative complications.[5,6,7]
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