How I do It: Endoscopic transorbital resection of sphenoid osseous meningioma via the lateral orbital 'sliding coach door' approach.

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Tác giả: Jiten Parmar, James M W Robins, Asim J Sheikh

Ngôn ngữ: eng

Ký hiệu phân loại: 616.3433 Diseases of digestive system

Thông tin xuất bản: Austria : Acta neurochirurgica , 2025

Mô tả vật lý:

Bộ sưu tập: NCBI

ID: 725724

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BACKGROUND: A 63-year-old presented with reduced left visual acuity and V1 sensation. Imaging demonstrated left sphenoid osseous meningioma narrowing superior orbital fissure with intracranial extension to superior temporal gyrus. METHOD: Endoscopic transorbital approach utilising novel lateral orbit 'sliding coach door' osteotomy performed. Lateral canthal incision with lateral canthal ligament division mobilises and decompresses globe infero-medially. Osteotomy performed, tethered by temporalis. Osteotomy slides postero-laterally creating working space lateral to inferior and superior orbital fissures. CONCLUSION: This technique requires reduced soft tissue dissection and facilitates reconstruction. Adequate working space enabled satisfactory resection with residual dural tail requiring future surveillance. Cosmesis was satisfactory.

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