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| Name | Lateral Supraorbital Approach for Resection of a medium size tuberculum sella meningioma ---Jianfu |
| Video Uploader | Video From Dr. Jianfu Zhang |
| Upload Date | This Video Uploaded At 03-06-2025 09:32:37 |
| Video Discription | Lateral Supraorbital Approach for Resection of a medium size tuberculum sella meningioma (额外侧入路中型鞍结节脑膜瘤切除术) Jianfu Zhang, 张建富 Neurosurgery Department Weihai Municipal Hospital, Shandong,China Clinical presentation The patient was seventy years old; He had right eye amaurosis and Left eye temporal hemianopia Preop MRI showed there was a three centimeters tumor located in the tuberculum sella I used lateral supraorbital craniotomy, with a large frontal bone flap Video Editor: Jianfu Zhang; Kenpeng Zheng First, I cut open the dura. There was a large draining vein in the frontal lobe, we protect it well. Then, I elevated the frontal lobe and found the tumor. I released the CSF in chiasm and carotid cistern Then, I dissected the sylvian fissure to facilitate retraction of the frontal lobe. Now, I started to coagulate and divide the base of the tumor. I used CUSA to resect the tumor piece by piece. Now, I started to dissect the tumor from the basal surface of the frontal lobe. Tumor had to be resected piece by piece. Now, we could see the tumor was located between the right optic nerve and the internal carotid artery. Now, I carefully performed sharp dissection to separate the tumor from the left optic nerve. The tumor was all removed Final view Outcome The patient tolerated the procedure well He had no new neurological deficits,visual acuity was well preserved He was discharged home on postoperative day seven. Address correspondence to: Jianfu Zhang（张建富） Department of Neurosurgery Weihai Municipal Hospital 70 Heping Road, Weihai, Shandong, China. Email: jianfuzh@qq.com Wechat: QQ26924742 |
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