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Abstract Supraorbital approach may be an effective and elegant alternative to conventional ones for a se- lected cohort of patients with anterior cranial fossa lesions. With regard to primary outcomes of these lesions, gross total tumor removal, restoration of visual function, morbidity, mortality and recurrence rates, the Supraorbital keyhole approach can offer valuable results, and with very low surgical aggressiveness. It should be stressed that minimally invasive techniques are technically demanding and require the ability to work through a narrow operative corridor. With this caveat in mind, we consider small sized lesions in the anterior skull base to be an elective location for the supraorbital approach whereas, for parasellar lesions, this approach must be tailored to the indi- vidual patient. |