OBJECTIVE: To summarize the experience in microsurgical @entity976 using combined transorbital-subfrontal and temporal craniotomy. METHODS: Eighteen @entity1 with @entity976 varied from 3.1 cm to 6.2 cm in diameter. The @entity5 was located in the suprasellar region in 7 @entity1 , extended to the third ventricle in 6, and down to the intrasellar from the suprasellar region in 4, and in the third ventricle in 1. Complete or partial @entity5 was seen in 13 @entity1 , and solid @entity5 in 5, and calcified @entity5 in 12. All the @entity1 were operated on via combined transorbital subfrontal and temporal approach. The @entity5 was dissected in the spaces I, II and IV with great attention to the preservation of the perforating arteries from the carotid, posterior communication and anterior choroidal arteries to the structure of the hypothalamus. The solid portion of the @entity5 was removed by piecemeal. RESULTS: The @entity5 was totally removed in 14 @entity1 and subtotally in 4. Postoperation, follow-up for 8 to 41 months showed no change in 3 @entity41 and one lost to follow-up. All @entity1 Postoperative Karnofsky scales showed 80 - 90, in 12 @entity1 , 60 - 70 in 5 @entity1 , and 50 in 1. CONCLUSIONS: Combined transorbital-subfrontal and temporal approach can provide an excellent exposure to the sellar region, @entity976 and its surrounding structures. This approach ensures less cerebral retraction for easy access to @entity976 , including other large @entity5 of the middle cranial base with ventricle or posterior cranial base extension. Microsurgical techniques play an important role in removing @entity5 and preserving hypothalamic function.

[Microsurgical treatment for XXXX combined transorbital-subfrontal and temporal craniotomy].

@entity976 :: ('MESH:D003397', 'Disease') :: ['removal of craniopharyngioma', 'craniopharyngioma'] @entity1 :: ('9606', 'Species') :: ['patients'] @entity5 :: ('MESH:D009369', 'Disease') :: ['tumor', 'cystic tumor', 'neoplasm'] @entity41 :: ('MESH:D018365', 'Disease') :: ['residual tumors']
@entity976 :: (MESH:D003397,Disease) :: ['craniopharyngioma']
