{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T11:40:31Z","timestamp":1790682031729,"version":"4.1.0"},"reference-count":19,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec id=\"st1\">\n<jats:title>Background: <\/jats:title>\n<jats:p>Anterior skull base meningiomas (ASBMs) account for about 10% of meningiomas. Bifrontal craniotomy (BFC) represents the traditional transcranial approach to accessing meningiomas in these locations. Supraorbital craniotomy (SOC) provides a minimally invasive subfrontal corridor in select patients. Here, we present our series of ASBM accessed by SOC and BFC by a single surgeon to review decision-making and compare outcomes in both techniques.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st2\">\n<jats:title>Methods: <\/jats:title>\n<jats:p>Thirty-three patients were identified with ASBM. Age, tumor characteristics, presenting symptoms, postoperative complications, and outcomes were analyzed.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st3\">\n<jats:title>Results: <\/jats:title>\n<jats:p>Bifrontal and SOC were performed in 13 and 20 patients, respectively. Mean follow-up time was 98.4 months. Patients undergoing SOC had smaller tumor size, located farther from the posterior table of frontal sinus, had less peritumoral edema, and decreased length of stay compared to patients undergoing BFC. Extent of resection was slightly better with BFC (99.8%) compared to SOC (91.8%), although this difference did not reach statistical significance. Recurrence-free survival and rate of re-do surgeries were not different between two groups. BFC was associated with higher rates of postoperative encephalomalacia.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st4\">\n<jats:title>Conclusion: <\/jats:title>\n<jats:p>SOC provides an excellent surgical option for ASBMs providing comparable extent of resection, minimal manipulation of brain, and excellent cosmetic outcomes for patients. The patient selection is key to maximize the benefits from this approach.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_767_2020","type":"journal-article","created":{"date-parts":[[2020,12,22]],"date-time":"2020-12-22T07:00:01Z","timestamp":1608620401000},"page":"458","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Single surgeon experience with minimally invasive supraorbital craniotomy versus bifrontal craniotomy for anterior skull base meningiomas"],"prefix":"10.25259","volume":"11","author":[{"given":"Scott Christopher","family":"Seaman","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Muhammad Salman","family":"Ali","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anthony","family":"Marincovich","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlos","family":"Osorno-Cruz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeremy D. W.","family":"Greenlee","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10894","published-online":{"date-parts":[[2020,12,22]]},"reference":[{"key":"10.25259\/SNI_767_2020\/ref-1","doi-asserted-by":"crossref","first-page":"141","DOI":"10.1016\/j.otc.2015.08.002","article-title":"An overview of anterior skull base meningiomas and the endoscopic endonasal approach","volume":"49","author":"Abbassy","year":"2016","journal-title":"Otolaryngol Clin North Am"},{"key":"10.25259\/SNI_767_2020\/ref-2","first-page":"1107","article-title":"Meningioma","volume-title":"Youmans and Winn Neurological Surgery","author":"Almefty","year":"2016","edition":"7th ed"},{"key":"10.25259\/SNI_767_2020\/ref-3","first-page":"1052","article-title":"A review of brain retraction and recommendations for minimizing intraoperative brain injury","volume":"33","author":"Andrews","year":"1993","journal-title":"Neurosurgery"},{"key":"10.25259\/SNI_767_2020\/ref-4","doi-asserted-by":"crossref","first-page":"605","DOI":"10.3171\/2015.1.JNS141884","article-title":"Endoscope-assisted endonasal versus supraorbital keyhole resection of olfactory groove meningiomas: Comparison and combination of 2 minimally invasive approaches","volume":"124","author":"Banu","year":"2016","journal-title":"J Neurosurg"},{"key":"10.25259\/SNI_767_2020\/ref-5","doi-asserted-by":"crossref","first-page":"e666","DOI":"10.1016\/j.wneu.2018.01.119","article-title":"Minimally invasive approaches for anterior skull base meningiomas: Supraorbital eyebrow, endoscopic endonasal, or a combination of both? Anatomic study, limitations, and surgical application","volume":"112","author":"Borghei-Razavi","year":"2018","journal-title":"World Neurosurg"},{"key":"10.25259\/SNI_767_2020\/ref-6","doi-asserted-by":"crossref","first-page":"E19","DOI":"10.3171\/2011.9.FOCUS11220","article-title":"Incidental meningiomas","volume":"31","author":"Chamoun","year":"2011","journal-title":"Neurosurg Focus"},{"key":"10.25259\/SNI_767_2020\/ref-7","doi-asserted-by":"crossref","first-page":"1128","DOI":"10.1227\/00006123-199506000-00009","article-title":"Endoscope-assisted craniotomy: Approach to the rostral brain stem","volume":"36","author":"Cohen","year":"1995","journal-title":"Neurosurgery"},{"key":"10.25259\/SNI_767_2020\/ref-8","doi-asserted-by":"crossref","first-page":"12","DOI":"10.3171\/2014.10.PEDS1430","article-title":"The supraorbital eyebrow approach in children: Clinical outcomes, cosmetic results, and complications","volume":"15","author":"Dlouhy","year":"2015","journal-title":"J Neurosurg Pediatr"},{"key":"10.25259\/SNI_767_2020\/ref-9","doi-asserted-by":"crossref","first-page":"36","DOI":"10.1227\/01.NEU.0000335069.30319.1E","article-title":"Endoscopic endonasal resection of anterior cranial base meningiomas","volume":"63","author":"Gardner","year":"2008","journal-title":"Neurosurgery"},{"key":"10.25259\/SNI_767_2020\/ref-10","doi-asserted-by":"crossref","first-page":"180","DOI":"10.2176\/nmc.oa.2015-0242","article-title":"Minimally invasive supraorbital keyhole approach for the treatment of anterior cranial fossa meningiomas","volume":"56","author":"Iacoangeli","year":"2016","journal-title":"Neurol Med Chir (Tokyo)"},{"key":"10.25259\/SNI_767_2020\/ref-11","doi-asserted-by":"crossref","first-page":"844","DOI":"10.1227\/01.NEU.0000255453.20602.80","article-title":"Olfactory groove meningiomas: Clinical outcome and recurrence rates after tumor removal through the frontolateral and bifrontal approach","volume":"60","author":"Nakamura","year":"2007","journal-title":"Neurosurgery"},{"key":"10.25259\/SNI_767_2020\/ref-12","doi-asserted-by":"crossref","first-page":"E7","DOI":"10.3171\/2018.1.FOCUS17734","article-title":"Decision-making algorithm for minimally invasive approaches to anterior skull base meningiomas","volume":"44","author":"Ottenhausen","year":"2018","journal-title":"Neurosurg Focus"},{"key":"10.25259\/SNI_767_2020\/ref-13","first-page":"83","article-title":"Basal variation of the supraorbital approach: The supraorbito-orbital craniotomy","volume-title":"Keyhole Approaches in Neurosurgery, Concept and Surgical Technique","volume":"1","author":"Perneczky","year":"2008"},{"key":"10.25259\/SNI_767_2020\/ref-14","doi-asserted-by":"crossref","first-page":"730","DOI":"10.3171\/2014.4.JNS13787","article-title":"Patients\u2019 cosmetic satisfaction, pain, and functional outcomes after supraorbital craniotomy through an eyebrow incision","volume":"121","author":"Reisch","year":"2014","journal-title":"J Neurosurg"},{"key":"10.25259\/SNI_767_2020\/ref-15","first-page":"242","article-title":"Ten-year experience with the supraorbital subfrontal approach through an eyebrow skin incision","volume":"57","author":"Reisch","year":"2005","journal-title":"Neurosurgery"},{"key":"10.25259\/SNI_767_2020\/ref-16","doi-asserted-by":"crossref","first-page":"e97","DOI":"10.1016\/j.wneu.2013.03.034","article-title":"An eyebrow for an eyebrow and a nose for a nose","volume":"82","author":"Schwartz","year":"2014","journal-title":"World Neurosurg"},{"key":"10.25259\/SNI_767_2020\/ref-17","doi-asserted-by":"crossref","first-page":"291","DOI":"10.3171\/2011.8.JNS101896","article-title":"The quiet revolution: Retractorless surgery for complex vascular and skull base lesions","volume":"116","author":"Spetzler","year":"2012","journal-title":"J Neurosurg"},{"key":"10.25259\/SNI_767_2020\/ref-18","article-title":"Microneurosurgery","author":"Ya\u015fargil","year":"1984"},{"key":"10.25259\/SNI_767_2020\/ref-19","doi-asserted-by":"crossref","first-page":"S300","DOI":"10.1055\/s-0038-1669463","article-title":"The endoscopic endonasal management of anterior skull base meningiomas","volume":"79","author":"Zoli","year":"2018","journal-title":"J Neurol Surg B Skull Base"}],"container-title":["Surgical Neurology International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/surgicalneurologyint.com\/single-surgeon-experience-with-minimally-invasive-supraorbital-craniotomy-versus-bifrontal-craniotomy-for-anterior-skull-base-meningiomas\/","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/single-surgeon-experience-with-minimally-invasive-supraorbital-craniotomy-versus-bifrontal-craniotomy-for-anterior-skull-base-meningiomas\/","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,12,22]],"date-time":"2020-12-22T07:00:10Z","timestamp":1608620410000},"score":1,"resource":{"primary":{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/single-surgeon-experience-with-minimally-invasive-supraorbital-craniotomy-versus-bifrontal-craniotomy-for-anterior-skull-base-meningiomas\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,12,22]]},"references-count":19,"alternative-id":["10.25259\/SNI_767_2020"],"URL":"https:\/\/doi.org\/10.25259\/sni_767_2020","relation":{},"ISSN":["2152-7806"],"issn-type":[{"value":"2152-7806","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,12,22]]},"article-number":"458"}}