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Endoscopic transorbital surgery for spheno-orbital lesions: how I do it

  • How I Do it - Neurosurgical Techniques
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Abstract

Background

The endoscopic transorbital approach has been recently proposed for the surgical management of spheno-orbital lesions as an alternative to craniotomy surgeries.

Method

We analyze the technical nuances and what we have changed as our experience increased after the first operations performed for 12 different spheno-orbital lesions.

Conclusion

The endoscopic transorbital approach is useful for the treatment of selected spheno-orbital lesions and could represent an interesting option in experienced hands. More studies are needed to fully understand its potentialities and limitations.

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References

  1. Locatelli D, Pozzi F, Turri-Zanoni M, Battaglia P, Santi L, Dallan I, Castelnuovo P (2016) Transorbital endoscopic approaches to the skull base: current concepts and future perspectives. J Neurosurg Sci 60(4):514–525

    PubMed  Google Scholar 

  2. Moe KS, Bergeron CM, Ellenbogen RG (2010) Transorbital neuroendoscopic surgery. Neurosurgery 67(3 Suppl Operative):ons16–ons28

    PubMed  Google Scholar 

  3. Norris JL, Cleasby GW (1981) Endoscopic orbital surgery. Am J Ophthalmol 91(2):249–252

    Article  CAS  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Neurosurgery Unit, IRCCS Fondazione Policlinico San Matteo, Pavia, Italy

    Cesare Zoia, Daniele Bongetta & Paolo Gaetani

  2. Varese, Italy

    Cesare Zoia

  3. Department of Clinical-Surgical, Diagnostic and Pediatric Sciences, Università degli Studi di Pavia, Pavia, Italy

    Daniele Bongetta

Authors
  1. Cesare Zoia
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  2. Daniele Bongetta
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  3. Paolo Gaetani
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Conflict of interest

The authors declare that they have no conflict of interest.

Additional information

Key points

1. Accurate preoperative neuroradiological images.

2. Four-hand technique.

3. Eyebrow incision when possible.

4. Do not use fixed retractor to medialize the orbital content.

5. Neuronavigation.

6. Hemostatic agent should be available.

7. Combined approaches should be considered.

8. Satisfactory cosmetic results.

9. Collaboration between different specialists is the key to success.

Electronic supplementary material

Video 1

Endoscopic transorbital surgery for a fibromyxoid sarcoma of the supero-lateral wall of the left orbit (M4V 94844 kb)

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Zoia, C., Bongetta, D. & Gaetani, P. Endoscopic transorbital surgery for spheno-orbital lesions: how I do it. Acta Neurochir 160, 1231–1233 (2018). https://doi.org/10.1007/s00701-018-3529-5

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  • DOI: https://doi.org/10.1007/s00701-018-3529-5

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