The Lateral Supraorbital Approach: 2-Dimensional Operative Video.
Hugo Andrade-BarazarteJuha HernesniemiPublished in: Operative neurosurgery (Hagerstown, Md.) (2023)
Anatomic limitations of the LSO include temporomesial region, distal Sylvian +/-, posterior communicating artery aneurysms medial projection, retro carotid space, and carotid cave. For pathologies requiring an additional lateral trajectory, we use an extended LSO, drilling the sphenoid wing through the fronto-pterio-orbital window without drilling of the temporal bone. Additional variations include performing an intradural or extradural clinoidectomy. The patient consented to the procedure and to the publication of their image.