Transcranial orbital decompression in severe cases of unilateral exophthalmos

Intracranial transtemporal orbital decompressions in one case of massive fibrous dysplasia of temporal, parietal and maxillary bones and in two cases of meningioma of the sphenoidal region are described. Surgery for fibrous dysplasia, even if extensive, must always be modified according to cosmetic and functional aspects. In bone-invading meningioma, large decompressing resections should be made. They may save the eye and arrest the progress of the disease for long periods of time.