{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,8]],"date-time":"2026-02-08T03:59:46Z","timestamp":1770523186256,"version":"3.49.0"},"reference-count":9,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\nBackground: <\/jats:title>\nCholesterol granuloma (CG) commonly occurs in the petrous apex; their occurrence in the anterior cranial fossa CGs is rare. Subfrontal approaches are the conventional surgical approaches for the resection of midline lesions of the anterior cranial fossa and frontal sinuses. In this article, we describe a successful minimally invasive approach for resection of a small midline anterior cranial fossa CG.<\/jats:p>\n<\/jats:sec>\n\nMethods: <\/jats:title>\nWe report a rare case of frontal air sinus CG extending intradurally through the foramen caecum. The surgical management of this patient involved the use of a minimally invasive transglabellar approach and a butterfly incision and the patient outcomes at 1 year after the surgery.<\/jats:p>\n<\/jats:sec>\n\nResults: <\/jats:title>\nThe lesion was totally resected with no complications and the patient was discharged on the 3rd<\/jats:sup> postoperative day. A 1-year follow-up scan showed neither residual nor recurrence of the lesion.<\/jats:p>\n<\/jats:sec>\n\nConclusion: <\/jats:title>\nThe transglabellar approach through a butterfly incision offers a safe approach for the resection of a lesion extending from the frontal air sinuses to the anterior cranial fossa with no complications, shorter hospital stay, and good cosmetic results.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_316_2023","type":"journal-article","created":{"date-parts":[[2023,7,7]],"date-time":"2023-07-07T10:33:06Z","timestamp":1688725986000},"page":"238","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Transglabellar resection of frontal sinus cholesterol granuloma extending cranially through cecum foramina: Technical note"],"prefix":"10.25259","volume":"14","author":[{"given":"Alaa","family":"Al-Mousa","sequence":"first","affiliation":[{"name":"Department of Special Surgery, Faculty of Medicine, The Hashemite University, Zarqa, Jordan,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amjed A.","family":"Tarifi","sequence":"additional","affiliation":[{"name":"Department of Special Surgery, Faculty of Medicine, The Hashemite University, Zarqa, Jordan,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anan","family":"Shtaya","sequence":"additional","affiliation":[{"name":"Department of Neurosciences, Arab Hospitals Group, Ramallah, Palestinian Territory, Occupied, Jordan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ishaq M.","family":"Ghanem","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Al-Kindi Hospital, Amman, Jordan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2023,7,7]]},"reference":[{"key":"10.25259\/SNI_316_2023\/ref-1","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":"Abu-Ghanem","year":"2013","journal-title":"Balkan Med J"},{"key":"10.25259\/SNI_316_2023\/ref-2","doi-asserted-by":"crossref","first-page":"242","DOI":"10.1002\/alr.21093","article-title":"Paranasal sinus cholesterol granuloma: Systematic review of diagnostic and management aspects","volume":"3","author":"Durgam","year":"2013","journal-title":"Int Forum Allergy Rhinol"},{"key":"10.25259\/SNI_316_2023\/ref-3","doi-asserted-by":"crossref","first-page":"883","DOI":"10.1227\/01.NEU.0000368395.82329.C4","article-title":"Endoscopic endonasal transethmoidal transcribriform transfovea ethmoidalis approach to the anterior cranial fossa and skull base","volume":"66","author":"Greenfield","year":"2010","journal-title":"Neurosurgery"},{"key":"10.25259\/SNI_316_2023\/ref-4","doi-asserted-by":"crossref","first-page":"687","DOI":"10.1001\/archotol.127.6.687","article-title":"The transglabellar\/subcranial approach to the anterior skull base: A review of 72 cases","volume":"127","author":"Kellman","year":"2001","journal-title":"Arch Otolaryngol Head Neck Surg"},{"key":"10.25259\/SNI_316_2023\/ref-5","doi-asserted-by":"crossref","first-page":"129","DOI":"10.1016\/j.clineuro.2018.02.032","article-title":"Extended endoscopic endonasal approach to the ventral skull base lesions","volume":"167","author":"Kutlay","year":"2018","journal-title":"Clin Neurol Neurosurg"},{"key":"10.25259\/SNI_316_2023\/ref-6","doi-asserted-by":"crossref","first-page":"679","DOI":"10.5999\/aps.2014.41.6.679","article-title":"Subbrow approach as a minimally invasive reduction technique in the management of frontal sinus fractures","volume":"41","author":"Lee","year":"2014","journal-title":"Arch Plast Surg"},{"key":"10.25259\/SNI_316_2023\/ref-7","doi-asserted-by":"crossref","first-page":"204","DOI":"10.1016\/S1808-8694(15)30056-2","article-title":"Surgery of frontal sinus fractures: Epidemiologic study and evaluation of techniques","volume":"72","author":"Montovani","year":"2006","journal-title":"Braz J Otorhinolaryngol"},{"key":"10.25259\/SNI_316_2023\/ref-8","doi-asserted-by":"crossref","first-page":"283","DOI":"10.2176\/nmc.41.283","article-title":"Large cholesterol granuloma arising from the frontal sinus--case report","volume":"41","author":"Ochiai","year":"2001","journal-title":"Neurol Med Chir (Tokyo)"},{"key":"10.25259\/SNI_316_2023\/ref-9","doi-asserted-by":"crossref","first-page":"708235","DOI":"10.3389\/fonc.2021.708235","article-title":"Unilateral subfrontal approach for giant tuberculum sellae meningioma: Single center experience and review of the literature","volume":"11","author":"Xiao","year":"2021","journal-title":"Front Oncol"}],"container-title":["Surgical Neurology 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