Exoscopic-endoscopic Superior Eyelid Transorbital Approach to the Cavernous Sinus

  • Matteo Gabriele de Notaris
  • Francesco Corrivetti

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This video provides a detailed step-by-step dissection illustrating the surgical technique to accede middle cranial fossa and performing interdural dissection of the cavernous sinus through a transorbital pathway. Moreover, the initial steps of the surgical dissection are performed under exoscopic visualization, and this technique has never been described before for transorbital surgery. This is a novel surgical corridor in neurosurgical practice that has gained popularity in last years, and has been applied in surgical practice for lateral skull base tumors showing promising results. Considering the novelty of this approach, the fundamental anatomical landmarks are carefully described. The transorbital view to the intracranial compartment constitutes a new point of view of the surgical neuroanatomy, differing from both classic microscopic transcranial and endoscopic endonasal views.

Introduction

The video describes the superior endoscopic transorbital approach, one of the most outstanding neurosurgical novelties developed in the last decade.

About The Authors

Matteo Gabriele de Notaris

Dr. Matteo De Notaris currently is consultant Neurosurgeon, San Pio Hospital, Benevento, Italy, and Director of the Laboratory of Neuroanatomy of EBRIS Foundation in Salerno. He had several experiences abroad, where he was worked as Asssociate Professor of Anatomy of the University of Barcelona. Chief of the neuroanatomy section of the Italian Society of Neurosurgery (SINCH), his main Main areas of expertise are neuroendoscopic surgery and neuroanatomy-. He is the co-author of some of the seminal anatomic papers on endoscopic transorbital approach.

 
Francesco Corrivetti

Dr. Francesco Corrivetti works as a neurosurgeon at the Neurosurgery Department of the ‘San Luca’ Hospital in Vallo della Lucania. His main fields of interest are brain tumours, adult hydrocephalus, minimally invasive surgery for degenerative and post-traumatic spine pathologies and peripheral nervous system pathology (carpal tunnel and cubital tunnel syndrome). During his training abroad (Hôpital Lariboisiere in Paris and Hôpital Gui de Chauliac in Montpellier), he specialised in endoscopic surgery techniques and Awake surgery techniques. He is the author of numerous publications in international journals with impact factor.

 

About this video

Author(s)
Matteo Gabriele de Notaris
Francesco Corrivetti
DOI
https://doi.org/10.1007/978-3-031-35488-5
Online ISBN
978-3-031-35488-5
Total duration
21 min
Publisher
Springer, Cham
Copyright information
© The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Switzerland AG 2023

Video Transcript

[MUSIC PLAYING]

Hi. This is Dr. Matteo de Notaris and Dr. Francesco Corrivetti. In this video, we are presenting an anatomical dissection of the combined exoscopic endoscopic superior eyelid transorbital approach to the cavernous sinus.

Superior eyelid transorbital approach is a novel and minimally invasive route that allows to access the lateral skull base from a ventral perspective. The surgical window exposes the lateral middle cranial fossa by extradural removal of the ventral surface of the greater sphenoid wing in order to reach the region of the cavernous sinus, the Meckel cave, the tentorial edge, and the lateral compartment of the middle cranial fossa.