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J Neurol Surg B Skull Base 2020; 81(04): 357-368
DOI: 10.1055/s-0040-1713854
Typical Orbital Pathologies
Review Article

Transorbital Endoscopic Surgery for Sphenoid Wing Meningioma: Long-Term Outcomes and Surgical Technique

N. Goncalves
1   Division of Otolaryngology, Groote Schuur Hospital, Faculty of Health Science, University of Cape Town, Cape Town, South Africa
,
D.E. Lubbe
1   Division of Otolaryngology, Groote Schuur Hospital, Faculty of Health Science, University of Cape Town, Cape Town, South Africa
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Abstract

Sphenoid wing meningiomas are benign tumors that can result in proptosis, visual impairment, and pain. Traditional open surgical approaches are associated with significant morbidity. Transorbital endoscopic surgery has been developed as a minimally invasive approach to gain access to these tumors and address the main presenting symptoms. Case series reporting transorbital endoscopic resection of sphenoid wing meningiomas using combined endonasal, pre-caruncular, and extended superior eyelid approaches have demonstrated stable and/or improved short- and medium-term visual outcomes. Earlier medial optic nerve decompression appears to result in more favorable long-term visual outcomes. Transorbital endoscopic surgery therefore represents an emerging minimally invasive alternative to deal with these challenging lesions.

Keywords

meningiomas - sphenoid wing meningiomas - Transorbital


Publication History

Article published online:
20 August 2020

© 2020. Thieme. All rights reserved.

Georg Thieme Verlag KG
Stuttgart · New York

 

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