Spheno-Orbital Meningiomas: When the Endoscopic Approach Is Better.
Spheno-orbital meningiomas were historically treated by traditional craniotomies. However, in the past few years new endoscopic treatments have been successfully performed. In this study, we analyzed different indications for craniotomy and endoscopy, and the advantages and disadvantages of these procedures.Thirty patients with spheno-orbital meningiomas were operated on over 2 years, between 2013 and 2014. Computed tomography (CT) and magnetic resonance imaging (MRI) were performed in all patients preoperatively. Navigated surgical removal and histological confirmation, as well as follow-up examinations, including CT scan at 24 h and MRI at 3, 6, and 12 months after surgery, were performed. Twenty-three patients were treated by traditional fronto-temporal, fronto-temporo-orbital, and supraorbital craniotomies; in six cases the tumor was removed via endoscopic endonasal and lateral transorbital resection. Only one case required a combined supraorbital and endoscopic endonasal approach.We analyzed the results of the different surgical techniques, in particular those of the endoscopic approaches.In selected cases, the endoscopic approach to spheno-orbital meningiomas, compared with traditional approaches, may be more effective in removing tumors completely. The surgical technique is easy and the rate of complications is low.
['Peron|Stefano|S|', 'Cividini|Andrea|A|', 'Santi|Laura|L|', 'Galante|Nicola|N|', 'Castelnuovo|Paolo|P|', 'Locatelli|Davide|D|']
D000293:Adolescent D000328:Adult D000368:Aged D000369:Aged, 80 and over D002648:Child D005260:Female D006801:Humans D008279:Magnetic Resonance Imaging D008297:Male D008577:Meningeal Neoplasms D008579:Meningioma D008875:Middle Aged D044583:Neuroendoscopy D019635:Neurosurgical Procedures D009918:Orbital Neoplasms D013100:Sphenoid Bone D014057:Tomography, X-Ray Computed D055815:Young Adult
Spheno-orbital meningiomas Endonasal approach Orbital tumors Transorbital approach