ReviewAnnals of medicine and surgery (2012)2025
Supraorbital keyhole approach (SOKHA) versus endoscopic endonasal approach (EEA) for suprasellar meningioma (SSM) resection: systematic review and meta-analysis.
Review in Annals of medicine and surgery (2012), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Early postoperative complication profile and acute hypothalamic dysfunction grading after surgery for adult intraventricular craniopharyngiomas: a single-center retrospective cohort study.Langenbeck's archives of surgery · 2026Article
- Endoscopic endonasal approach for tuberculum sellae meningioma with optic canal involvement: standard technique for optimal visual outcomes.Neurosurgical focus: Video · 2026Article
- Endoscopic supraorbital eyebrow approach versus microscopic subfrontal approach for anterior cranial fossa tumor excision: A comparative study of surgical outcome and quality of life.Pakistan journal of medical sciences · 2025Article
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Authors and funding
12 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Complete surgical resection of suprasellar meningiomas (SSMs) is challenging due to their proximity to neurovascular structures. Minimally invasive transcranial approaches such as the supraorbital keyhole approach (SOKHA) and the endoscopic endonasal approach (EEA) have emerged with the advancement of neuroendoscopy and neuromicroscopy. Objective: To compare the SOKHA and EEA for the management of SSM in terms of patient characteristics, surgical efficacy, and safety. Materials and methods: A systematic review and meta-analysis were conducted in accordance with the PRISMA guidelines. A comprehensive search of the PubMed, Embase, Cochrane, and ClinicalTrials.gov databases was performed, identifying studies comparing SOKHA and EEA for SSMs. Data extraction and quality assessment were conducted independently by two reviewers. Results: Out of 1678 identified studies, six retrospective studies met the inclusion criteria. Visual improvement was significantly higher with EEA compared to SOKHA (81.00% vs 62.12%, respectively, Conclusion: While both SOKHA and EEA show comparable GTR rates and safety profiles, however EEA is associated with better visual outcomes but higher CSF leak rates. The surgical approach can be tailored to the individual case without affecting the GTR. Further larger-scale studies are needed to accurately assess long-term outcomes and optimize surgical strategies for SSM.
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