A Sepehrnia1, U Knopp. 1. Neurosurgical Department, University of Lübeck, Germany.
Abstract
OBJECTIVE: Preservation of the olfactory tract during use of the bifrontal approach for the treatment of lesions located in the frontal cranial base and the supra- and parasellar regions has not been previously investigated. METHODS: In our study, 12 patients underwent surgery, via the basal subfrontal route, for treatment of various lesions. All patients were observed prospectively, and olfactometry was performed pre- and postoperatively by an independent otorhinolaryngologist. RESULTS: We obtained complete preservation of the olfactory tracts and normal postoperative olfaction in all 12 cases. CONCLUSION: The bifrontal approach yields a bilateral wide operative field with excellent orientation and views of important structures. The shortcomings of this method, i.e., damage to the olfactory tracts and postoperative anosmia, can be overcome.
OBJECTIVE: Preservation of the olfactory tract during use of the bifrontal approach for the treatment of lesions located in the frontal cranial base and the supra- and parasellar regions has not been previously investigated. METHODS: In our study, 12 patients underwent surgery, via the basal subfrontal route, for treatment of various lesions. All patients were observed prospectively, and olfactometry was performed pre- and postoperatively by an independent otorhinolaryngologist. RESULTS: We obtained complete preservation of the olfactory tracts and normal postoperative olfaction in all 12 cases. CONCLUSION: The bifrontal approach yields a bilateral wide operative field with excellent orientation and views of important structures. The shortcomings of this method, i.e., damage to the olfactory tracts and postoperative anosmia, can be overcome.
Authors: Camillo Sherif; Antonio Di Ieva; Daniel Gibson; Bita Pakrah-Bodingbauer; Georg Widhalm; Irena Krusche-Mandl; Jozsef Erdoes; Benjamin Gilloon; Christian Matula Journal: Neurosurg Rev Date: 2011-09-27 Impact factor: 3.042
Authors: Ali Kurtsoy; Ahmet Menku; Bulent Tucer; I Suat Oktem; Hidayet Akdemir; R Kemal Koc Journal: Neurosurg Rev Date: 2004-04-08 Impact factor: 3.042