Stab Wound in the Skull Treated with a Medial Supraorbital Craniotomy Through an Incision in the Eyebrow—a Minimally Invasive Approach

• DOI: 10.1007/s12262-015-1329-1
• Publication Date: 2015-08-28T02:44:14Z
• Authors: João Luiz Vitorin...; Vinicius Ricieri ...; Denes Vilela; Marcelo Sette
• Keywords: Frontal sinus; Supraorbital nerve; Eyebrow; Frontalis muscle; Anterior cranial fossa; Frontal bone; Stab wound; Hypoesthesia

The eyebrow incision associated with medial supraorbital craniotomy is a minimally invasive alternative approach to the lesions located in the medial anterior cranial fossa. The main advantages of the medial supraorbital craniotomy regarding frontolateral supraorbital craniotomy are the absence of manipulation of the temporal muscle, less risk of injury to the frontotemporal branch of the facial nerve and a more medial view of the anterior structures such as frontal sinus, olfatory groove and frontal lobe. We report a unique case of cranial stab wound in which a piece of the knife stayed in the frontal sinus and removal was performed using the medial supraorbital approach. There were no complications during surgery, the patient reported mild hypoesthesia in the left frontal region and was discharged on the 7th postoperative day. During follow-up after 2 months, good cosmetic result of the surgical wound and preserved sensitivity of the left frontal region were noted.