the current issue of Neurosurgical Focus, Gazzeri et al. present their experience with the endoscopic supra-orbital eyebrow approach for a variety of pathological entities of the anterior skull base and parasellar region.1 The keyhole supraorbital approach has steadily become a workhorse operation for neurosurgeons who routinely treat tumors and aneurysms in these anatomical regions.2 The authors are to be acknowledged for further developing this minimally invasive approach and for routinely integrating the endoscope into their practice, which improves overall visualization and facilitates inspection around anatomical corners such as the tuberculum sellae. The authors report accessing and successfully treating a wide variety of lesions in 97 patients with an acceptable rate of morbidity, and they report very few issues related specifically to the eyebrow approach itself (e.g., frontal isnerve paresis, CSF leaks, or wound infections relating to the frontal sinus). The median hospital stay was 2.7 days, which may be one of the most important benefits offered by the keyhole supraorbital approach.
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