Dr. Jho's Temple-Incision Skull Base Surgery: Operation for Tentorial Meningioma, Trigeminal Neuroma, Cavernous sinus Tumor, Petroclival Meningioma, Cholesterol Granuloma, Cerebral Aneurysm: Subtemporal Skull Base Approach: Minimally Invasive Brain Tumor Surgery
Hae Dong Jho, M.D., Ph.D.
Home: Dr. Jho's Innovative Minimally Invasive Neurosurgery for Spine and Brain Disorders
Link: JHO Institute for Minimally Invasive Neurosurgery
"Band-aid" Brain surgery for cavernous sinus tumors, tentorial meningiomas, cholesterol granulomas, trigeminal neurilemmomas, petroclival meningiomas and cerebral aneurysms
Facts About This Surgery
Provides an alternative to the conventional subtemporal craniotomy that often includes extensive incisions and skull bone removal
The traditional approach of a subtemporal craniotomy has been modified, and now tumors and vascular lesions of the middle skull base, cavernous sinus, petrous bone and upper posterior fossa can be reached through a smaller skull hole and through a smaller skin incision. A two inch skin incision and a compact and strategically placed skull hole is made at the temple for access to the middle fossa, cavernous sinus, and tentorial regions. The incision is covered by a "band-aid" after surgery and patients generally only need to stay in the hospital for two or three days. This surgery is a minimally invasive alternative for both tumors and vascular lesions.
MRI scan images including axial view (left) and coronal view (right) reveal a large meningioma involving the cavernous sinus and tentorium.
Subsequent postoperative MRI views plus a postoperative CT scan view (far right) demonstrate complete tumor resection. The patient did well following surgery with some left sided facial numbness.
A patient after subtemporal approach with a postoperative bandage.
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