Keyhole craniotomy for sella lesions through a superciliary skin incision

ve To treat superatentorial aneurysms and craniopharyngiomas by the transorbital keyhole approach. Methods An incision was made at the upper edge of the eyebrow, paralleling and equalling the eyebrow. The operations were carried out through a circle bone flap whose diameter was 2.5 cm. Results Three large craniopharyngiomas were removed and 3 aneurysms were clipped (1 was anterior communicating aneurysm and the other 2 were posterior communicating aneurysms). After the follow-up of 1 - 3 months after the surgery, the results were favorable compared with those of standard peri tonal craniotomy. Conclusion The transsuperciliary keyhole craniotomy, together with the modern neuroanesthesia, cerebrospinal fluid drainage, and microsurgical techniques, is a safe approach in treating superatentorial aneurysms and sellar regions craniopharyngiomas.