Abstract
We present our experience with the surgical treatment of olfactory groove meningiomas using a pterional approach. This approach provides the advantages of previous techniques, such as preserving the frontal brain and superior sagittal sinus, early devascularization of the tumour, and late dessection of tumour borders. Moreover, it also compensates for the shortcomings of other techniques, e.g., compression of frontal bridging veins, late dissection of dorsal tumour aspects involving vessels and optic nerves as well as facultative infection and cerebrospinal fluid fistula-related complications caused by opening of frontal sinuses. To date, 11 patients were treated in this way. As we encountered no surgical complications in our series we are encouraged to present our procedure.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Cushing H (1927) Meningiomas arising from olfactory groove and their removal by aid of electrosurgery. Lancet 1: 1329–1339
Cushing H, Eisenhardt L (1938) Meningiomas. The olfactory meningiomas with primary anosmia. Charles C Thomas, Springfield, 111, pp 250–282
Dandy WE (1938) Hirnchirurgie. Barth, Leipzig
Derome PJ, Guiot G (1978) Bone problems in meningiomas invading the base of the skull. Clin Neurosurg 25: 435–451
Durante F (1885) Estirpazione di un tumore endocranio. Arch Soc Ital Chir 2: 252–255
Hamby WB (1964) Pterional approach to the orbits for decompression or tumor removal. J Neurosurg 21: 15–18
Kempe LG (1968) Operative neurosurgery, vol 1. Springer, New York, pp 104–108
Ojemann RG (1982) Surgical management of meningiomas of the tuberculum sellae, olfactory groove, medical sphenoid wing, and floor of the anterior fossa. In: Schmidek HH, Sweet WH (eds) Operative neurosurgical techniques. Indications, methods, and results. Grune & Stratton, New York, pp 535–559
Olivecrona H, Urban H (1935) Über Meningeome der Siebbeinplatte. Brun’s Beitr Klin Chir 161: 224–253
Seeger W (1983) Microsurgery of the cranial base. Springer, New York
Symon L (1977) Olfactory groove and suprasellar meningiomas. In: Krayenbiihl H, et al (eds) Advances and technical standards in neurosurgery, vol 4. Springer, New York, pp 67–91
Tönnis W (1938) Zur Operation der Meningeome der Sieb-beinplatte. Zentralbl Neurochir 3: 1–6
Ya§argil MG, Fox JL (1975) The microsurgical approach to intracranial aneurysms. Surg Neurol 3: 7–14
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1991 Springer-Verlag
About this paper
Cite this paper
Hassler, W., Zentner, J. (1991). Surgical Treatment of Olfactory Groove Meningiomas Using the Pterional Approach. In: Koos, W., Richling, B. (eds) Processes of the Cranial Midline. Acta Neurochirurgica Supplementum, vol 53. Springer, Vienna. https://doi.org/10.1007/978-3-7091-9183-5_3
Download citation
DOI: https://doi.org/10.1007/978-3-7091-9183-5_3
Publisher Name: Springer, Vienna
Print ISBN: 978-3-7091-9185-9
Online ISBN: 978-3-7091-9183-5
eBook Packages: Springer Book Archive