Edoardo Agosti, Giorgio Saraceno, Vittorio Rampinelli, Elena Raffetti, Pierlorenzo Veiceschi, Barbara Buffoli, Rita Rezzani, Andrea Giorgianni, Lena Hirtler, Alex Yohan Alexander, Alberto Deganello, Cesare Piazza, Piero Nicolai, Paolo Castelnuovo, Davide Locatelli, Maria Peris-Celda, Marco Maria Fontanella, Francesco Doglietto
BACKGROUND: Several microsurgical transcranial approaches (MTAs) and endoscopic transnasal approaches (EEAs) to the anterior cranial fossa (ACF) have been described. OBJECTIVE: To provide a preclinical, quantitative, anatomic, comparative analysis of surgical approaches to the ACF. METHODS: Five alcohol-fixed specimens underwent high-resolution computed tomography. The following approaches were performed on each specimen: EEAs (transcribriform, transtuberculum, and transplanum), anterior MTAs (transfrontal sinus interhemispheric, frontobasal interhemispheric, and subfrontal with unilateral and bilateral frontal craniotomy), and anterolateral MTAs (supraorbital, minipterional, pterional, and frontotemporal orbitozygomatic approach)...
October 1, 2022: Operative Neurosurgery (Hagerstown, Md.)