Abstract
Endoscopic skull base surgery has expanded to now allow the use of an endoscope and instruments through orbital portals to address difficult-to-reach skull base pathologies. This chapter will (1) cover a short introduction to transorbital surgery, (2) describe the rationale behind the approach, (3) discuss indications for the otolaryngologist, (4) describe the pertinent anatomy, (5) discuss preoperative planning, (6) discuss contraindications for performing the surgery, (7) describe the surgical technique with some tips for the otolaryngologist, (8) discuss postoperative management, (9) discuss complications, (10) discuss areas of controversy, (11) provide key learning points and pearls, (12) provide a link to a transorbital procedure and (13) provide some key references and further reading suggestions.
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References
Lubbe D, Mustak H, Seayaroyh K, Goncalves N, Fagan J. Transorbital endoscopic surgery. Curr Otorhinolaryngol Rep. 2019;7(2):173–80.
Moe KS, Lubbe DE. Chapter 20: Transorbital neuroendoscopic surgery of the skull base and brain. In: Stamm AC, Mangussi-Gomes J, editors. Transnasal endoscopic skull base and brain surgery: surgical anatomy and its applications. 2nd ed. Thieme; 2019.
Lubbe DE, Moe KS. Chapter 16: Transorbital approaches to the sinuses, skull base, and intracranial space. In: Bleier BS, Freitag SK, Sacks R, editors. Endoscopic Surgery of the Orbit: Anatomy, Pathology, and Management. 1st ed. New York, NY: Thieme; 2019.
Kier EL, Mahajan A, Conlogue GJ. Sphenoidal artery: review of the literature and analysis of a dissected arterially injected fetal orbit. Surg Radiol Anat. 2021;43(3):405–11.
Cornelis MM, Lubbe DE. Precaruncular approach to the medial orbit and landmarks for anterior ethmoidal artery ligation: a cadaveric study. Clin Otolaryngol. 2016;41(6):777–81.
Moe KS, Kim LJ, Bergeron CM. Transorbital endoscopic repair of cerebrospinal fluid leaks. Laryngoscope. 2011;121(1):13–30.
Lubbe D, Mustak H, Taylor A, Fagan J. Minimally invasive endo-orbital approach to sphenoid wing meningiomas improves visual outcomes—our experience with the first seven cases. Clin Otolaryngol. 2017;42(4):876–80.
Lubbe D, Mustak H. Combined endoscopic endonasal and transorbital approach for orbital cranial tumors. In: Agarwal V, editor. Surgery of the orbit in neuro-oncology: indications, technique, and nuances. 1st ed. Cambridge University Press; 2022.
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The Precaruncular approach to the AEA and PEA (MP4 660705 kb)
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Lubbe, D., Goncalves, N. (2023). Transorbital Endoscopic Surgery of the Paranasal Sinuses and Skull Base. In: Swift, A.C., Carrie, S., de Souza, C. (eds) Contemporary Rhinology: Science and Practice. Springer, Cham. https://doi.org/10.1007/978-3-031-28690-2_37
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DOI: https://doi.org/10.1007/978-3-031-28690-2_37
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