XXXX : surgical technique and outcome.

@entity1 @entity4916 @entity410 @entity227 @entity1184 @entity5 @entity5768 @entity260 @entity1653 @entity86
OBJECT: The aim of this study was to describe the surgical technique used for @entity1653 in the authors' practice and to review the operative outcome. METHODS: Review of the senior author's practice between 1994 and 2009 revealed 39 @entity1 (mean age 48 years) eligible for this study. Clinical presentation, surgical technique, postoperative outcome, and follow-up data are presented. Surgical technique is detailed, with an emphasis on aggressive removal consisting of drilling of the @entity1184 sphenoid bone, orbital wall, and anterior clinoid process, followed by @entity5 removal and a wide resection of the involved dura. A simple dural closure without reconstruction of the orbital roof or the lateral wall of the orbit is also described. RESULTS: Gross-total resection was achieved in 15 cases (38.5%), near-total resection with small residual in the cavernous sinus or periorbita in 20 cases (51.3%), and subtotal resection in 4 cases (10.3%). @entity260 included trigeminal hypesthesia in 9 @entity1 [corrected], oculomotor palsy in 3 @entity1 [corrected], and @entity410 in 2 @entity1 . Seven @entity1 had recurrence within the mean follow-up period of 40.7 months [corrected]. Preoperative @entity227 were present in 21 @entity1 (53.8%). Of these, 14 (66.7%) experienced visual recovery to normal levels postoperatively.Statistical analyses revealed @entity227 and @entity4916 as an independent risk factor and an independent favorable factor, respectively, for a favorable visual outcome. @entity5768 was resolved ( <= 2 mm) in 73.5% of the authors' @entity1 . No @entity1 had @entity86 . CONCLUSIONS: In the authors' practice, surgery for @entity1653 consists of resection of the orbital/sphenoid intraosseous, intraorbital, and intradural @entity5 components. The authors believe that aggressive removal of the orbital/sphenoid @entity5 is critical for a favorable visual outcome and @entity5 control. Furthermore, satisfactory cosmetic results can be achieved with simple reconstruction techniques as described.
