Objective: The report of 17 patients with different lesions perfomed by the same technique: suprasellea meningioma, crahiopharyngiomas, pituitary adenoma... Method: small incision (50 mm) in the eyebrow and a supra orbital minicraniotomy are presented. Result: the intracranial hypertention symptoms, visual loss were the most common clinical symptoms with anterior fossa brain tumor. Microsurgery total removal of the tumor was 70,6 percent. The good resuls after tumor resection (patients with 80-100 Karnofsky scale) was 41,2 percent. Conclusion: The supraorbital minicraniotomy surgical approach associated with microsurgery and neuroendoscopy, a mini invasive technique, provides a good and effective way to carry out to the anterior skull base.
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