| Autor: |
d'Avella, Elena, Somma, Teresa, Fabozzi, Gianluca Lorenzo, Committeri, Umberto, Romano, Antonio, Cappabianca, Paolo, Cavallo, Luigi Maria |
| Předmět: |
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| Zdroj: |
Head & Neck; Feb2024, Vol. 46 Issue 2, pE18-E25, 8p |
| Abstrakt: |
Background: Sphenoorbital meningiomas (SOM) harbor intrinsic features that render their surgical management and the reconstruction of the resulting bony defect overtly challenging. Methods: A 70‐year‐old woman, harboring a long‐standing left frontotemporal bony swelling conservatively managed, presented with progressive left proptosis. Radiological features were consistent with an en plaque SOM. A one‐step multiportal transcranial and endoscopic transorbital approach (TOA) with custom bone three‐dimensional (3D) printing reconstruction using polymethylmethacrylate (PMMA) was scheduled. Results: Postoperative functional and aesthetic results were excellent, with proptosis and calvarian deformity resolution. Tumor subtotal resection was achieved. Histopathological diagnosis confirmed a transitional meningioma (WHO grade I). Conclusions: The endoscopic TOA, isolated or as part of a multiportal strategy, has entered the surgical armamentarium for the treatment of SOMs. A customized PMMA cranioplasty can be considered a possible option for the reconstruction of large bony defects in a one‐step fashion. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
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