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Olfactory nerve sparing technique for anterior skull base meningiomas: how I do it
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Journal Article
Olfactory nerve sparing technique for anterior skull base meningiomas: how I do it
2021
Overview
Background
Olfactory function preservation is a desirable objective in anterior skull base (ASB) surgery. The “infracerebral-supraolfactory nerve” corridor is presented.
Method
The technique for preserving the olfactory nerves (OlfNs) in anterior ASB meningioma removal involves the following points: deep knowledge of the ASB vascular and meningeal anatomy, precise preoperative planning, wide and sharp dissection of the OlfNs away from the frontal lobes, gravity-aided frontal lobe retraction, Gelfoam-assisted hemostasis on nervous structures, and access to the lesion through an infracerebral-supraolfactory nerve corridor.
Conclusions
This technique may be a valid option for patients affected by anterior skull base meningiomas with intact preoperative olfactory function.
Publisher
Springer Vienna,Springer Nature B.V
Subject
/ How I Do it - Tumor - Meningioma
/ Humans
/ Medicine
/ Meningeal Neoplasms - diagnostic imaging
/ Meningeal Neoplasms - surgery
/ Meningioma - diagnostic imaging
/ Olfactory Nerve - diagnostic imaging
/ Skull
/ Skull Base - diagnostic imaging
/ Skull Base Neoplasms - diagnostic imaging
/ Skull Base Neoplasms - surgery
/ Smell
