OBJECTIVE: The lateral supraorbital approach for safely and completely removing olfactory groove meningiomas was assessed. METHODS: Between September 1997 and June 2008, a total of 656 meningiomas were operated on by the senior author (JH) at the Department of Neurosurgery, Helsinki University Central Hospital; 66 were olfactory meningiomas. We retrospectively analyze the clinical data, radiological findings, surgical treatment, histology, and outcome of all the olfactory groove meningioma patients and discuss the operative techniques used. RESULTS: Sixty-six patients were operated on by the lateral supraorbital approach. The median preoperative Karnofsky Performance Scale score was 80 (range, 40-100). Three patients were redo cases in which the primary operation had been performed elsewhere. Seemingly complete tumor removal was achieved in 60 patients (91%); there was no surgical mortality. Postoperatively, 6 patients (9%) had cerebrospinal fluid leakage, 5 (8%) had new visual deficits, 4 (6%) had wound infections, 4 (6%) had cotton granulomas, and 1 (2%) had a postoperative hematoma. The median Karnofsky score at discharge was 80 (range, 40-100). Six patients had recurrent tumors; 3 underwent reoperations after an average of 21 months (range, 1-41 months); 1 was treated with radiosurgery, and 2 were only followed. During the median follow-up time of 45 months (range, 2-128 months), there were 4 recurrences (6%) diagnosed on average 32 months (range, 17-59 months) after surgery. CONCLUSION: The lateral supraorbital approach can be used safely for olfactory groove meningiomas of all sizes with no mortality and relatively low morbidity. Surgical results and tumor recurrence with this fast and simple approach are similar to those obtained with more extensive, complex, and time-consuming approaches.
OBJECTIVE: The lateral supraorbital approach for safely and completely removing olfactory groove meningiomas was assessed. METHODS: Between September 1997 and June 2008, a total of 656 meningiomas were operated on by the senior author (JH) at the Department of Neurosurgery, Helsinki University Central Hospital; 66 were olfactory meningiomas. We retrospectively analyze the clinical data, radiological findings, surgical treatment, histology, and outcome of all the olfactory groove meningiomapatients and discuss the operative techniques used. RESULTS: Sixty-six patients were operated on by the lateral supraorbital approach. The median preoperative Karnofsky Performance Scale score was 80 (range, 40-100). Three patients were redo cases in which the primary operation had been performed elsewhere. Seemingly complete tumor removal was achieved in 60 patients (91%); there was no surgical mortality. Postoperatively, 6 patients (9%) had cerebrospinal fluid leakage, 5 (8%) had new visual deficits, 4 (6%) had wound infections, 4 (6%) had cotton granulomas, and 1 (2%) had a postoperative hematoma. The median Karnofsky score at discharge was 80 (range, 40-100). Six patients had recurrent tumors; 3 underwent reoperations after an average of 21 months (range, 1-41 months); 1 was treated with radiosurgery, and 2 were only followed. During the median follow-up time of 45 months (range, 2-128 months), there were 4 recurrences (6%) diagnosed on average 32 months (range, 17-59 months) after surgery. CONCLUSION: The lateral supraorbital approach can be used safely for olfactory groove meningiomas of all sizes with no mortality and relatively low morbidity. Surgical results and tumor recurrence with this fast and simple approach are similar to those obtained with more extensive, complex, and time-consuming approaches.
Authors: Alexandru Vlad Ciurea; Stefan Mircea Iencean; Radu Eugen Rizea; Felix Mircea Brehar Journal: Neurosurg Rev Date: 2011-09-30 Impact factor: 3.042
Authors: Andrej D Bitter; Lampis C Stavrinou; Georgios Ntoulias; Athanasios K Petridis; Morina Dukagjin; Martin Scholz; Werner Hassler Journal: J Neurol Surg B Skull Base Date: 2013-01-22
Authors: Hun Ho Park; Kyoung Su Sung; Ju Hyung Moon; Eui Hyun Kim; Sun Ho Kim; Kyu-Sung Lee; Chang-Ki Hong; Jong Hee Chang Journal: Neurosurg Rev Date: 2019-08-03 Impact factor: 3.042
Authors: Felix Goehre; Behnam Rezai Jahromi; Ahmed Elsharkawy; Hanna Lehto; Oleg Shekhtman; Hugo Andrade-Barazarte; Francisco Munoz; Ferzat Hijazy; Makhkam Makhkamov; Juha Hernesniemi Journal: Surg Neurol Int Date: 2015-05-28