The frontolateral approach has the advantages of both the pterional approach and conventional bifrontal approaches.
Indications
Olfactory groove meningioma
The frontolateral approach allows quick and minimally invasive access to olfactory groove meningioma OGMs less than 4 cm in diameter, and also to tumors more than 4 cm in diameter without encasement of the anterior cerebral artery complex. Tumor size more than 4 cm in diameter and encasement of the anterior cerebral artery complex are limiting factors for the frontolateral approach if radical tumor removal is considered.