{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,10]],"date-time":"2026-04-10T23:51:48Z","timestamp":1775865108816,"version":"3.50.1"},"reference-count":22,"publisher":"Georg Thieme Verlag KG","issue":"01","license":[{"start":{"date-parts":[[2022,9,22]],"date-time":"2022-09-22T00:00:00Z","timestamp":1663804800000},"content-version":"vor","delay-in-days":3127,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Asian J Neurosurg"],"published-print":{"date-parts":[[2014,3]]},"abstract":"<jats:p>The keyhole concept in neurosurgery is designed to minimize the craniotomy needed for the access route to deep intracranial pathologies. Such keyhole surgeries cause less trauma and can be less invasive than conventional surgical techniques. Among the various types of keyhole mini-craniotomy, supraorbital or lateral supraorbital mini-craniotomy is the standard and basic keyhole approaches. The lateral supraorbital keyhole provides adequate working space in the suprasellar to parasellar areas and planum sphenoidale area including the anterior communicating artery complex. Despite the development of neuro-endoscopic techniques and intra-operative assistant methods, the limited working angle to manipulate and observe deeply situated pathologies is a major disadvantage of the keyhole approaches. Neurosurgeons should understand that keyhole mini-craniotomy surgeries aim at \"minimally invasive neurosurgery\" but still carry the risks of malpractice unless we understand the advantages and disadvantages of these keyhole concepts and strategies.<\/jats:p>","DOI":"10.4103\/1793-5482.131059","type":"journal-article","created":{"date-parts":[[2014,4,19]],"date-time":"2014-04-19T07:13:11Z","timestamp":1397891591000},"page":"14-20","source":"Crossref","is-referenced-by-count":32,"title":["Keyhole concept in cerebral aneurysm clipping and tumor removal by the supraciliary lateral supraorbital approach"],"prefix":"10.1055","volume":"9","author":[{"given":"Kentaro","family":"Mori","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, National Defense Medical College, Saitama"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2022,9,22]]},"reference":[{"key":"key-10.4103\/1793-5482.131059-1","unstructured":"Perneczky A, Muller-Forell W, Lindert E, Fries G. Current strategies in keyhole and endoscope-assisted microneurosurgery. In: Perneczky A, editor. Keyhole Concept in Neurosurgery. Stuttgart: Thieme Medical Publishers; 1999. p. 37-51."},{"key":"key-10.4103\/1793-5482.131059-2","unstructured":"Fukushima T. The key of keyhole microsurgery brain protective operation. In: Fukushima T, Sameshima R, editors. Manual of Skull Base Dissection. 2 nd ed. Raleigh: AF-Neuro Video, Inc.; 2004."},{"key":"key-10.4103\/1793-5482.131059-3","first-page":"184","volume-title":"Endoscopy in aneurysm surgery","author":"Fischer","year":"2012","journal-title":"Neurosurgery"},{"key":"key-10.4103\/1793-5482.131059-4","first-page":"223","volume-title":"Surgical technique of the supraorbital key-hole craniotomy","author":"Reisch","year":"2003","journal-title":"Surg Neurol"},{"key":"key-10.4103\/1793-5482.131059-5","first-page":"242","volume-title":"Ten-year experience with the supraorbital subfrontal approach through an eyebrow skin incision","author":"Reisch","year":"2005","journal-title":"Neurosurgery"},{"key":"key-10.4103\/1793-5482.131059-6","first-page":"45","volume-title":"The keyhole concept in aneurysm surgery: Results of the past 20 years","author":"Fischer","year":"2011","journal-title":"Neurosurgery"},{"key":"key-10.4103\/1793-5482.131059-7","first-page":"17","volume-title":"Lateral supraorbital approach as an alternative to the classical pterional approach","author":"Hernesniemi","year":"2005","journal-title":"Acta Neurochir Suppl"},{"key":"key-10.4103\/1793-5482.131059-8","first-page":"195","volume-title":"Pterional keyhole approach to middle cerebral artery aneurysms through an outer canthal skin incision","author":"Mori","year":"2007","journal-title":"Minim Invasive Neurosurg"},{"key":"key-10.4103\/1793-5482.131059-9","first-page":"292","volume-title":"Lateral supraorbital keyhole approach to clip unruptured anterior communicating artery aneurysms","author":"Mori","year":"2008","journal-title":"Minim Invasive Neurosurg"},{"key":"key-10.4103\/1793-5482.131059-10","first-page":"89","volume-title":"Tailor-made keyhole clipping for safe treatment of unruptured cerebral aneurysm [In Japanese]","author":"Mori","year":"2011","journal-title":"Surgery for Cerebral Stroke"},{"key":"key-10.4103\/1793-5482.131059-11","first-page":"ONS212","volume-title":"An anatomical evaluation of the mini-supraorbital approach and comparison with standard craniotomies","author":"Figueiredo","year":"2006","journal-title":"Neurosurgery"},{"key":"key-10.4103\/1793-5482.131059-12","first-page":"364","volume-title":"Lateral supraorbital approach vs pterional approach: An anatomic qualitative and quantitative evaluation","author":"Salma","year":"2011","journal-title":"Neurosurgery"},{"key":"key-10.4103\/1793-5482.131059-13","first-page":"39","volume-title":"Lateral supraorbital approach applied to olfactory groove meningiomas: Experience with 66 consecutive patients","author":"Romani","year":"2009","journal-title":"Neurosurgery"},{"key":"key-10.4103\/1793-5482.131059-14","first-page":"178","volume-title":"Anatomic and surgical basis of the sphenoid ridge keyhole approach for cerebral aneurysms","author":"Nathal","year":"2005","journal-title":"Neurosurgery"},{"key":"key-10.4103\/1793-5482.131059-15","first-page":"1949","volume-title":"The fully endoscopic supraorbital trans-eyebrow keyhole approach to the anterior and middle skull base","author":"Berhouma","year":"2011","journal-title":"Acta Neurochir (Wien)"},{"key":"key-10.4103\/1793-5482.131059-16","first-page":"714","volume-title":"Eyebrow incision for combined orbital osteotomy and supraorbital minicraniotomy: Application to aneurysms of the anterior circulation.Technical note","author":"Dare","year":"2001","journal-title":"J Neurosurg"},{"key":"key-10.4103\/1793-5482.131059-17","first-page":"347","volume-title":"Transorbital keyhole approach to anterior communicating artery aneurysms","author":"Steiger","year":"2001","journal-title":"Neurosurgery"},{"key":"key-10.4103\/1793-5482.131059-18","first-page":"324","volume-title":"Transciliary orbitofrontozygomatic approach to lesions of the anterior cranial fossa","author":"Warren","year":"2009","journal-title":"Neurosurgery"},{"key":"key-10.4103\/1793-5482.131059-19","first-page":"248","volume-title":"Anterolateral mini fronto-orbito-zygomatic craniotomy via an eyebrow incision in pediatrics: Technical notes and evaluation","author":"El","year":"2011","journal-title":"Pediatr Neurosurg"},{"key":"key-10.4103\/1793-5482.131059-20","first-page":"ONSE157","volume-title":"Eyebrow surgery: The supraciliary craniotomy: Technical note","author":"Jallo","year":"2006","journal-title":"Neurosurgery"},{"key":"key-10.4103\/1793-5482.131059-21","first-page":"595","volume-title":"Transcranial minimally invasive neurosurgery for tumors","author":"Garrett","year":"2010","journal-title":"Neurosurg Clin N Am"},{"key":"key-10.4103\/1793-5482.131059-22","first-page":"207","volume-title":"Individualized pterional keyhole clipping surgery based on a preoperative three-dimensional virtual osteotomy technique for unruptured middle cerebral artery aneurysm","author":"Mori","year":"2011","journal-title":"Minim Invasive Neurosurg"}],"container-title":["Asian Journal of Neurosurgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.4103\/1793-5482.131059.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,9,23]],"date-time":"2022-09-23T03:26:49Z","timestamp":1663903609000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.4103\/1793-5482.131059"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,3]]},"references-count":22,"journal-issue":{"issue":"01","published-online":{"date-parts":[[2022,9,22]]},"published-print":{"date-parts":[[2014,3]]}},"URL":"https:\/\/doi.org\/10.4103\/1793-5482.131059","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["1793-5482","2248-9614"],"issn-type":[{"value":"1793-5482","type":"print"},{"value":"2248-9614","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,3]]}}}