000			04315nam a22005897a 4500
008			240723s20242024 xxu||||| |||| 00| 0 eng d
022			_a1092-0684
040			_aOvid MEDLINE(R)
099			_a38560941
245			_aClinical outcomes and complications of eyelid versus eyebrow approaches to supraorbital craniotomy: systematic review and indirect meta-analysis.
251			_aNeurosurgical Focus. 56(4):E13, 2024 Apr.
252			_aNeurosurg. focus. 56(4):E13, 2024 Apr.
253			_aNeurosurgical focus
260			_c2024
260			_p2024 Apr
260			_fFY2024
265			_sppublish
265			_tMEDLINE
501			_aAvailable online from MWHC library: 1996 - present
520			_aCONCLUSIONS: This is the first meta-analysis that quantitatively compared complications of eyebrow versus eyelid approaches to supraorbital craniotomy. This study found similar overall complication rates but higher rates of selected complication domains in the eyelid group. The literature is limited by a high degree of variability in the reported outcomes.
520			_aMETHODS: A systematic review of the literature in the PubMed, Embase, and Cochrane Review databases was conducted for identifying relevant literature using keywords such as "supraorbital," "eyelid," "eyebrow," "tumor," and "aneurysm." Eyebrow supraorbital craniotomies with or without orbitotomies and eyelid supraorbital craniotomies with orbitotomies for the treatment of orbital tumors, intracranial meningiomas, and aneurysms were selected. The primary outcomes were overall complications, cosmetic complications, and residual aneurysms and tumors. Secondary outcomes included five complication domains: orbital, wound-related, scalp or facial, neurological, and other complications.
520			_aOBJECTIVE: Eyebrow supraorbital craniotomy is a versatile keyhole technique for treating intracranial pathologies. The eyelid supraorbital approach, an alternative approach to an eyebrow supraorbital craniotomy, has not been widely adopted among most neurosurgeons. The purpose of this systematic review and meta-analysis was to perform a pooled analysis of the complications of eyebrow or eyelid approaches for the treatment of aneurysms, meningiomas, and orbital tumors.
520			_aRESULTS: One hundred three articles were included in the synthesis. The pooled numbers of patients in the eyebrow and eyelid groups were 4689 and 358, respectively. No differences were found in overall complications or cosmetic complications between the eyebrow and eyelid groups. The proportion of residuals in the eyelid group (11.21%, effect size [ES] 0.26, 95% CI 0.12-0.41) was significantly higher (p < 0.05) than that in the eyebrow group (6.17%, ES 0.10, 95% CI 0.08-0.13). A subgroup analysis demonstrated significantly higher incidences of orbital, wound-related, and scalp or facial complications in the eyelid group (p < 0.05), but higher other complications in the eyebrow group. Performing an orbitotomy substantially increased the complication risk.
546			_aEnglish
650			_a*Intracranial Aneurysm
650			_a*Meningeal Neoplasms
650			_a*Meningioma
650			_a*Orbital Neoplasms
650			_aCraniotomy/ae [Adverse Effects]
650			_aCraniotomy/mt [Methods]
650			_aEyebrows/pa [Pathology]
650			_aHumans
650			_aIntracranial Aneurysm/su [Surgery]
650			_aMeningeal Neoplasms/su [Surgery]
650			_aMeningioma/su [Surgery]
650			_aOrbit/su [Surgery]
650			_aOrbital Neoplasms/su [Surgery]
650			_zAutomated
651			_aMedStar Washington Hospital Center
656			_aMedStar Georgetown University Hospital/MedStar Washington Hospital Center
656			_aNeurosurgery
656			_aNeurosurgery Residency
657			_aJournal Article
657			_aMeta-Analysis
657			_aSystematic Review
700			_aChesney, Kelsi _bMGUH _cNeurosurgery Residency _dMD
700			_aPivazyan, Gnel _bMGUH _cNeurosurgery Residency _dMD
700			_aSur, Samir _bMWHC
790			_aPivazyan G, Aguilera C, Liu J, Khan Z, Wong GM, Dowlati E, Chesney K, Mai JC, Anaizi A, Sur S
856			_uhttps://dx.doi.org/10.3171/2024.1.FOCUS23878 _zhttps://dx.doi.org/10.3171/2024.1.FOCUS23878
942			_cART _dArticle
999			_c14319 _d14319