Summary
Within 3 years, 34 patients with lesions of the posterior part of the orbit, the optic canal, and the superior orbital fissure were operated using different surgical approaches. The results on the functional and cosmetic outcomes were compiled. The pterional approach was shown to be the most useful one. It can be used in intradural as well as in extradural and combined operations. It allows an excellent view of basal cerebral structures as well as the frontal base of the skull. The operative results are dependent on the type and the location of the lesion, and, especially in meningiomas, on their relationship to the cavernous sinus.
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References
Brihaye, J., Transcranial Decompression of Optic Nerve After Trauma. Advances and Technical Standards in Neurosurgery Vol.3 (Krayenbühl, H.,et al., eds.), pp. 103–121. Wien-New York: Springer. 1976.
Dandy, W. E., Results following the transcranial operative attack on orbital tumours. Arch. Ophthalm.25 (1941), 191–216.
Hamby, W. B., Pterional approach to the orbits for decompression or tumor removal. J. Neurosurg.21 (1964), 15–18.
Housepian, E. M., Microsurgical anatomy of the orbital apex and principles of transcranial orbital exploration. Clin. Neurosurg. Chapt.39 (1978), 556–573.
Housepian, E. M., Surgical treatment of unilateral optic nerve gliomas. J. Neurosurg.31 (1969), 604–607.
Krönlein, R. U., Zur Pathologie und operativen Behandlung der Dermoidcysten der Orbita. Klin. Chir.4 (1889), 149–163.
Maroon, J. C., Kennerdell, J. S., Lateral microsurgical approach to intraorbital tumors. J. Neurosurg.44 (1976), 556–561.
MacCarty, C. S., Meningiomas of the sphenoidal ridge. J. Neurosurg.36 (1972), 114–120.
Naffziger, H. C., Exophthalmos. Some principles of surgical management from the neurosurgical aspect. Amer. J. Surg.75 (1948), 25–41.
Niho, S.,et al., Decompression of the optic canal by the transethmoidal route. Amer. J. Ophthal.51 (1961), 659–665.
Niho, S., Niho, M., and Niho, K., Decompression of the optic canal by the transethmoidal route and decompression of the superior orbital fissure. Canad. J. Ophthal.5 (1970), 22–40.
Schürmann, K., Oppel, O., Die transfrontale Orbitotomie als Operationmethode bei retrobulbären Tumoren. Klin. Mbl. Augenheilkunde139 (1961), 129–259.
Seeger, W., Microsurgery of the Cranial Base. Wien-New York: Springer. 1983.
Unsöld, R., Computed tomographic anatomy of the orbit. Int. ophthal. Clin.22 (1982), 45–80.
Unsold, R.,et al., Computer Reformations of the Brain and Skull Base. Anatomy and Clinical Application. Berlin-Heidelberg-New York: Springer. 1982.
YaŞargil, M. G., Fox, J. L., The microsurgical approach to intracranial aneurysms. Surg. Neurol.3 (1975), 7–14.
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Haßler, W., Eggert, H.R. Extradural and intradural microsurgical approaches to lesions of the optic canal and the superior orbital fissure. Acta neurochir 74, 87–93 (1985). https://doi.org/10.1007/BF01418794
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DOI: https://doi.org/10.1007/BF01418794