The recent use of neuroendoscopy combined to microsurgery allows new s
urgical approaches. We report our early experience with a supraorbital
microcraniotomy. This technique is suitable for small lesions situate
d in the region of the anterior fossa, suprasellar cisterns, and Sylvi
an cistern. A 50-mm incision in the eyebrow and a supraorbital minicra
niotomy are performed. We report on six patients with different lesion
s and good cosmetic results. We conclude that this approach is safe an
d useful in selected cases.