How I Do It: Endonasal transethmoidal, transcribriform approach for resection of giant olfactory groove meningioma

Acta Neurochir (Wien). 2022 Nov;164(11):2981-2985. doi: 10.1007/s00701-022-05308-5. Epub 2022 Jul 7.

Abstract

Background: Olfactory groove meningiomas (OGMs) arise from the cribriform plate of the anterior fossa and account for 9-12% of all meningiomas. Giant OGMs are those larger than 6 cm and are technically challenging to resect.

Method: Here we present the surgical decision-making and intraoperative details regarding the endonasal endoscopic resection of an OGM using a minimally invasive, endonasal approach in a 68-year-old female patient.

Conclusion: Giant OGMs can be safely and effectively removed using an endonasal, transcribriform approach.

Keywords: Endonasal; Meningioma; Olfactory groove; Olfactory groove meningioma; Transcribriform.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Endoscopy
  • Female
  • Humans
  • Meningeal Neoplasms* / diagnostic imaging
  • Meningeal Neoplasms* / surgery
  • Meningioma* / diagnostic imaging
  • Meningioma* / surgery
  • Neurosurgical Procedures
  • Nose / surgery