Minimally Invasive Supraorbital Key-Hole Approach for the Treatment of Anterior Cranial Fossa Meningiomas: is Still a Valid Option in the Endoscopic Era?

Background: The most important target of minimally invasive surgery is to obtain the best therapeutic effect with the least iatrogenic injury. In this background, a pivotal role in contemporary neurosurgery is played by the supraorbital key-hole approach (SKA) proposed by Perneczky for anterior cranial base surgery. We presented our experience with SKA as a possible valid alternative to the traditional craniotomies in anterior cranial fossa meningiomas removal and to the novel endoscopic endonasal approaches (EEA).