Microsurgical removal of craniopharyngioma via lateral supraorbital approach:clinical analysis of 26 cases
Zhang Jian
Zhu Yun
Sun Chunming
Zhou Dai
Wang Zhong
Abstract：Objective To explore the effectiveness and safety of microsurgical removal of craniopharyngioma via lateral supraorbital approach. Methods Clinical symptoms, imaging findings, surgical treatments and follow-up results of 26 patients with craniopharyngioma undergoing microsurgical resection via lateral supraorbital approach were analyzed retrospectively, and the operative techniques were also summarized. Results Total tumor resection was achieved in 21 patients (80.8%), subtotal resection in 4 (15.4%) and partial resection in 1 (3.8%). Of 18 patients with preoperative hypopsia, the vision was obviously improved in 12, remained the same in 5 and worsened in 1, and no new visual deficit occurred after surgery. Also, no craniotomy-related complications occurred. During a follow-up period of 3 to 60 months, 21 patients (80.8%) returned to normal activities and work, 3 (11.5%) could look after themselves in their daily life and 2 (7.7%) needed to be looked after by others. Tumor recurred in 4 patients (15.4%) and no patient died. Conclusion Microsurgery via lateral supraorbital approach is fast, simple and minimally invasive, can remove craniopharyngioma reliably and safely, and is worthy to be popularized clinically.
Keywords：craniopharyngiomaapproachlateral supraorbitalmicrosurgery
Publication Date：2016-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 543-546 )