Contralateral Orbitopterional Approach for Anterior Skull Base Meningioma Resection

Journal of Neurological Surgery Part B Skull Base 2026

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Authors: Serdar Rahmanv, Mohammadmahdi Sabahi, Qais Alrashidi, Hamid Borghei-Razavi, Badih Adada
DOI: 10.1055/s-0046-1818970
Cited by: 0

Abstract

This video demonstrates an anterior skull base meningioma causing vasogenic edema due to compression of the frontopolar vein. A contralateral orbitopterional craniotomy was chosen as the minimally invasive approach that best avoided bifrontal morbidity. The infrafrontal corridor facilitated the preservation of the olfactory and optic nerves, the carotid artery, and the frontopolar vein. Postoperative MRI confirmed gross total resection, edema resolution, and intact neurological function at five weeks. Publication History Article published online: 27 February 2026 © 2026. Thieme. All rights reserved. Georg Thieme Verlag KG Oswald-Hesse-Straße 50, 70469 Stuttgart, Germany

Fields of Study & Subjects

Meningioma and schwannoma management Head and Neck Surgical Oncology Neurosurgical Procedures and Complications

Publication details

Journal / source
Journal of Neurological Surgery Part B Skull Base
Volume
87
Issue
S 01
Pages
S1–S548
Publication date
27 February 2026
Language
EN