Functional and clinical outcomes after superior eyelid transorbital endoscopic approach for spheno-orbital meningiomas: illustrative case and literature review.

Autor: Corvino S; Department of Neurosciences, Reproductive and Odontostomatological Sciences, Neurosurgical Clinic, School of Medicine, University of Naples 'Federico II', 80131, Naples, Italy. sercorvino@gmail.com., Sacco M; Department of Neurosurgery, 'Riuniti', 71122, Foggia, Italy., Somma T; Department of Neurosciences, Reproductive and Odontostomatological Sciences, Neurosurgical Clinic, School of Medicine, University of Naples 'Federico II', 80131, Naples, Italy., Berardinelli J; Department of Neurosciences, Reproductive and Odontostomatological Sciences, Neurosurgical Clinic, School of Medicine, University of Naples 'Federico II', 80131, Naples, Italy., Ugga L; Department of Advanced Biomedical Sciences, University of Naples 'Federico II', 80131, Naples, Italy., Colamaria A; Department of Neurosurgery, 'Riuniti', 71122, Foggia, Italy., Corrivetti F; Department of Neurosurgery, San Luca Hospital, Vallo Della Lucania, Salerno, Italy., Iaconetta G; Neurosurgical Clinic A.O.U. 'San Giovanni Di Dio E Ruggi d'Aragona', Salerno, Italy., Kong DS; Department of Neurosurgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea., de Notaris M; Department of Neuroscience, G. Rummo Hospital, Neurosurgery Operative Unit, 82100, Benevento, Italy.
Jazyk: angličtina
Zdroj: Neurosurgical review [Neurosurg Rev] 2022 Dec 14; Vol. 46 (1), pp. 17. Date of Electronic Publication: 2022 Dec 14.
DOI: 10.1007/s10143-022-01926-w
Abstrakt: The pattern of growth of spheno-orbital meningiomas accounts for the main presenting symptoms, such as proptosis, eye motility deficit, visual impairment, diplopia. As these are benign tumors, the postoperative patient's quality of life is an important factor to consider during the preoperative planning. A detailed literature review of superior eyelid transorbital endoscopic approach for spheno-orbital meningiomas, including our own case, was made. A Medline search up to March 2022 in PubMed online electronic database was made using the following key phrases: "superior eyelid endoscopic transorbital approach spheno-orbital meningiomas," "superior eyelid endoscopic transorbital approach," "spheno-orbital meningiomas endoscopic approach." The inclusion criteria were surgical series, reviews, and case reports in English language, as well as papers written in other languages, but including the abstract in English. Cadaveric studies, multiportal combined approaches for SOM, were excluded. The literature review has disclosed five studies for a total of 65 patients, whose demographic, clinical, pathological, surgical, complications, and outcome data were analyzed. Functional and esthetic outcome data after superior eyelid transorbital approach are the following: improvement of proptosis (100%), of visual deficits (66.66%) and of ocular paresis (75%), with only 11 complications (4 trigeminal dysesthesia, 2 CSF leak, 2 wound complications, 1 upper eyelid necrosis, 1 hemorrhage of surgical field, 1 keratitis) reported, but at the expense of extent of resection (gross total resection 33.39%). Based on the outcome data, the superior eyelid transorbital endoscopic approach results in a suitable operative technique for selected spheno-orbital meningiomas.
(© 2022. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.)
Databáze: MEDLINE
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