Subfrontal Infrachiasmatic Approach

Subfrontal Infrachiasmatic Approach

In a video, Aldave et al., from the Division of Pediatric Neurosurgery, Texas Children’s Hospital, Department of Neurosurgery, Baylor College of Medicine, presented a case of a 6-yr-old girl with a large sellar-suprasellar craniopharyngioma.

The fact that the sphenoid was not pneumatized and the chiasm was elevated 1.2 cm from the planum sphenoidale were some of the reasons to choose a subfrontal infrachiasmatic approach as they discuss and show in the video. This approach has not been very well established in the literature but they demonstrated it can become a good alternative for a particular type of sellar-suprasellar tumors. Appropriate video authorization consent was obtained from the parent of the patient 1).

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Watch now at https://academic.oup.com/ons/article-lookup/doi/10.1093/ons/opy403

1)

Aldave G, Zinn P, Whitehead WE. Subfrontal Infrachiasmatic Approach to a Craniopharyngioma Resection: 2-Dimensional Operative Video. Oper Neurosurg (Hagerstown). 2019 Feb 5. doi: 10.1093/ons/opy403. [Epub ahead of print] PubMed PMID: 30726971.
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