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