{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T17:46:49Z","timestamp":1786124809691,"version":"build-2736575974"},"reference-count":29,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"6","license":[{"start":{"date-parts":[[2020,8,3]],"date-time":"2020-08-03T00:00:00Z","timestamp":1596412800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Operative Surg.","ONSURG"],"published-print":{"date-parts":[[2020,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>BACKGROUND<\/jats:title>\n                    <jats:p>The supraorbital (SO) eyebrow craniotomy provides minimally invasive access to the anterior and middle fossae and parasellar region.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>OBJECTIVE<\/jats:title>\n                    <jats:p>To present a series of patients treated with the SO approach to assess outcomes, the impact of endoscopy, and describe a modified pericranial flap aimed at reducing postoperative frontalis paresis and hypesthesia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>A retrospective analysis was undertaken of our prospective database of patients who underwent SO craniotomy for tumor\/cyst removal. Patients were evaluated based on pathology, utility of endoscopy, extent of resection, complications, and functional\/esthetic recovery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>From 2007 to 2018, 129 operations were performed in 117 patients (54% women; mean age 60\u00a0\u00b1\u00a016.5 yr). The most common lesions were meningiomas (43%), gliomas (15%), and metastases (15%). Prior surgery and\/or radiation had been performed in 37% and 26% of patients, respectively. Endoscopy was used in 76 (61%) operations and allowed more complete tumor removal in 38 (50%). For first-time operations, gross-total removal was achieved in 78%. Major complications included stroke (3%), cranial nerve deficit (3%), acute hematoma (1%), and cerebrospinal fluid leak (1%). The modified pericranial flap technique used in 18 recent patients resulted in a shorter duration of transient frontalis paresis and forehead hypesthesia with complete functional recovery in all 18.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION<\/jats:title>\n                    <jats:p>The SO craniotomy is an effective keyhole approach for intra- and extra-axial tumors. Endoscopic assistance may allow additional tumor removal in almost 30% of the cases. The modified pericranial flap appears to accelerate functional recovery, although additional patients and follow-up are required to better assess this technique.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ons\/opaa217","type":"journal-article","created":{"date-parts":[[2020,8,3]],"date-time":"2020-08-03T16:11:18Z","timestamp":1596471078000},"page":"667-677","source":"Crossref","is-referenced-by-count":31,"title":["The Supraorbital Eyebrow Craniotomy for Intra- and Extra-Axial Brain Tumors: A Single-Center Series and Technique Modification"],"prefix":"10.1227","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8476-6596","authenticated-orcid":false,"given":"Shaheryar F","family":"Ansari","sequence":"first","affiliation":[{"name":"Pacific Neuroscience Institute, Providence Saint John's Health Center, Santa Monica, California"},{"name":"John Wayne Cancer Institute, Providence Saint John's Health Center, Santa Monica, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy","family":"Eisenberg","sequence":"additional","affiliation":[{"name":"Pacific Neuroscience Institute, Providence Saint John's Health Center, Santa Monica, California"},{"name":"John Wayne Cancer Institute, Providence Saint John's Health Center, Santa Monica, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amanda","family":"Rodriguez","sequence":"additional","affiliation":[{"name":"Pacific Neuroscience Institute, Providence Saint John's Health Center, Santa Monica, California"},{"name":"John Wayne Cancer Institute, Providence Saint John's Health Center, Santa Monica, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Garni","family":"Barkhoudarian","sequence":"additional","affiliation":[{"name":"Pacific Neuroscience Institute, Providence Saint John's Health Center, Santa Monica, California"},{"name":"John Wayne Cancer Institute, Providence Saint John's 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