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Ferroli, Paolo; Restelli, Francesco; Broggi, Morgan
Acta neurochirurgica, 09/2021, Volume: 163, Issue: 9Journal Article
Background Olfactory function preservation is a desirable objective in anterior skull base (ASB) surgery. The “infracerebral-supraolfactory nerve” corridor is presented. Method The technique for preserving the olfactory nerves (OlfNs) in anterior ASB meningioma removal involves the following points: deep knowledge of the ASB vascular and meningeal anatomy, precise preoperative planning, wide and sharp dissection of the OlfNs away from the frontal lobes, gravity-aided frontal lobe retraction, Gelfoam-assisted hemostasis on nervous structures, and access to the lesion through an infracerebral-supraolfactory nerve corridor. Conclusions This technique may be a valid option for patients affected by anterior skull base meningiomas with intact preoperative olfactory function.
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