{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T19:38:55Z","timestamp":1740166735627,"version":"3.37.3"},"reference-count":43,"publisher":"Georg Thieme Verlag KG","issue":"03","funder":[{"name":"Clinical and Translational Science Award (CTSA) Grant","award":["UL1 TR000448"],"award-info":[{"award-number":["UL1 TR000448"]}]},{"name":"IMRIS Inc."},{"name":"unrestricted educational grant"},{"name":"Mr. and Mrs. Barbara and George Holtzman"},{"name":"Mrs. Carol Rossfeld and The Alex & Alice Aboussie Family Charitable Foundation"},{"name":"NIH T35 NHLBI Training Grant Fellowship"},{"name":"Siteman Comprehensive Cancer Center and NCI Cancer Center Support Grant","award":["P30 CA091842"],"award-info":[{"award-number":["P30 CA091842"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Neurol Surg B Skull Base"],"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Introduction\u2003A low subfrontal dural opening technique that limits brain manipulation was assessed in patients who underwent frontotemporal approaches for anterior fossa lesions.<\/jats:p><jats:p>\n          Methods\u2003A retrospective review was performed for cases using a low subfrontal dural opening including characterization of demographics, lesion size and location, neurological and ophthalmological assessments, clinical course, and imaging findings.<\/jats:p><jats:p>\n          Results\u2003A low subfrontal dural opening was performed in 23 patients (17F, 6M), median age of 53 years (range 23\u201381) with a median follow-up duration of 21.9 months (range 6.2\u201367.1). Lesions included 22 meningiomas (nine anterior clinoid, 12 tuberculum sellae, and one sphenoid wing), one unruptured internal carotid artery aneurysm clipped during a meningioma resection, and one optic nerve cavernous malformation. Maximal possible resection was achieved in all cases including gross total resection in 16\/22 (72.7%), near total in 1\/22 (4.5%), and subtotal in 5\/22 (22.7%) in which tumor involvement of critical structures limited complete resection. Eighteen patients presented with vision loss; 11 (61%) improved postoperatively, three (17%) were stable, and four (22%) worsened. The mean ICU stay and time to discharge were 1.3 days (range 0\u20133) and 3.8 days (range 2\u20138).<\/jats:p><jats:p>\n          Conclusion\u2003A low sub-frontal dural opening for approaches to the anterior fossa can be performed with minimal brain exposure, early visualization of the optico-carotid cistern for cerebrospinal fluid release, minimizing need for fixed brain retraction, and Sylvian fissure dissection. This technique can potentially reduce surgical risk and provide excellent exposure for anterior skull base lesions with favorable extent of resection, visual recovery, and complication rates.<\/jats:p>","DOI":"10.1055\/a-1774-6281","type":"journal-article","created":{"date-parts":[[2022,2,18]],"date-time":"2022-02-18T00:08:07Z","timestamp":1645142887000},"page":"201-209","source":"Crossref","is-referenced-by-count":0,"title":["A Low Subfrontal Dural Opening for Operative Management of Anterior Skull Base Lesions"],"prefix":"10.1055","volume":"84","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3963-736X","authenticated-orcid":false,"given":"Samuel J.","family":"Cler","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Washington University School of Medicine, St. Louis, Missouri, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gavin P.","family":"Dunn","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Washington University School of Medicine, St. Louis, Missouri, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gregory J.","family":"Zipfel","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Washington University School of Medicine, St. Louis, Missouri, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ralph G.","family":"Dacey","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Washington University School of Medicine, St. Louis, Missouri, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0689-8603","authenticated-orcid":false,"given":"Michael R.","family":"Chicoine","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Washington University School of Medicine, St. Louis, Missouri, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2022,5,3]]},"reference":[{"issue":"02","key":"ref2","doi-asserted-by":"crossref","first-page":"136","DOI":"10.5152\/balkanmedj.2013.9112","article-title":"Surgical approaches to resection of anterior skull base and paranasal sinuses tumors","volume":"30","author":"S Abu-Ghanem","year":"2013","journal-title":"Balkan Med J"},{"issue":"04","key":"ref3","doi-asserted-by":"crossref","first-page":"E9","DOI":"10.3171\/2018.1.FOCUS17753","article-title":"Tuberculum sellae meningiomas: grading scale to assess surgical outcomes using the transcranial versus transsphenoidal approach","volume":"44","author":"S T Magill","year":"2018","journal-title":"Neurosurg Focus"},{"issue":"06","key":"ref4","doi-asserted-by":"crossref","first-page":"1504","DOI":"10.1227\/NEU.0b013e31824a36e8","article-title":"Lateral supraorbital approach applied to tuberculum sellae meningiomas: experience with 52 consecutive patients","volume":"70","author":"R Romani","year":"2012","journal-title":"Neurosurgery"},{"issue":"06","key":"ref5","doi-asserted-by":"crossref","first-page":"412","DOI":"10.7887\/jcns.26.412","article-title":"Craniotomy for parasellar meningiomas","volume":"26","author":"M Wanibuchi","year":"2017","journal-title":"Japanese Journal of Neurosurgery."},{"key":"ref6","volume-title":"Meningiomas of the sphenoid wing region: operative approaches to medial and lateral sphenoid wing, spheno-orbital, and cavernous sinus meningiomas","author":"M R Chicoine","year":"2007","edition":"2nd ed."},{"key":"ref7","first-page":"171","volume-title":"Surgical approaches to the cavernous sinus","author":"M R Chicoine","year":"1999"},{"volume-title":"Atlas of Operative Microneurosurgery Volume 1: Aneurysms and Arteriovenous Malformations","year":"1994","author":"J M Tew","key":"ref8"},{"volume-title":"Atlas of Operative Microneurosurgery Volume 2: Brain Tumors","year":"2001","author":"J M Tew","key":"ref9"},{"issue":"09","key":"ref10","doi-asserted-by":"crossref","first-page":"1749","DOI":"10.1007\/s00701-018-3625-6","article-title":"How I do it-the eyebrow approach for anterior circle of Willis aneurysms","volume":"160","author":"S Aldea","year":"2018","journal-title":"Acta Neurochir (Wien)"},{"issue":"02","key":"ref11","doi-asserted-by":"crossref","first-page":"341","DOI":"10.3171\/JNS\/2008\/109\/8\/0341","article-title":"Eyelid approach to the anterior cranial base","volume":"109","author":"N Andaluz","year":"2008","journal-title":"J Neurosurg"},{"issue":"04","key":"ref12","doi-asserted-by":"crossref","first-page":"237","DOI":"10.1055\/s-0030-1249247","article-title":"Transpalpebral orbitofrontal craniotomy: a minimally invasive approach to anterior cranial vault lesions","volume":"20","author":"K D Owusu Boahene","year":"2010","journal-title":"Skull Base"},{"issue":"03","key":"ref13","doi-asserted-by":"crossref","first-page":"556","DOI":"10.1227\/01.neu.0000317303.93460.24","article-title":"Tuberculum sellae meningiomas: high route or low route? 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