Abstract
“Unlocking the brain” - key concepts to accessing the anterolateral skull base made simple
Highlights
The skull base surgery has its origins from the fact that “bone drilling in the base decreases the need for or avoids brain retraction”
In this article we describe the concept of brain unlocking in a multiplanar view, and explain in detail, a modification of the Dolenc approach to reach the anterolateral skull base in a bloodless fashion
Once the dura is exposed, the sphenoid ridge and the temporal bone is drilled as much as possible to unfold the frontal lobe from the temporal lobe in a sagittal manner, providing a major view of skull base.[7]
Summary
The skull base surgery has its origins from the fact that “bone drilling in the base decreases the need for or avoids brain retraction”. This drilling is done primarily to access areas in the base of the brain like the suprasellar cisterns, optic nerves, carotids and the circle of Willis, the interpeduncular fossa and so on. In this article we describe the concept of brain unlocking in a multiplanar view, and explain in detail, a modification of the Dolenc approach to reach the anterolateral skull base in a bloodless fashion.
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