Does neuroendoscopic surgery require a craniotomy?

In general, neuroendoscopic surgery requires craniotomy, although the size and extent of the opening are much smaller compared to traditional microscopic surgery. A detailed explanation is as follows:

Neuroendoscopic techniques offer advantages such as minimal invasiveness, excellent visualization, and flexible maneuverability. However, due to the limited space and complex anatomy within the skull, it is often difficult to access specific intracranial regions directly through natural pathways, such as the nasal cavity. Therefore, to ensure the endoscope can safely and accurately reach and treat the lesion, a craniotomy is typically required to create an appropriate surgical corridor. Neuroendoscopes have a small diameter and flexible bending capabilities, allowing them to enter the cranial cavity through a much smaller incision, thereby minimizing damage and disruption to surrounding healthy brain tissue. As a result, the craniotomy in neuroendoscopic surgery is significantly smaller in scope and size than that used in conventional microscopic surgery.

It is important to maintain healthy lifestyle habits, such as regular sleep patterns, balanced nutrition, and moderate exercise, to support overall nervous system health.