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[Sphenoorbital meningiomas].

T Civit¹, S Freppel

¹Département de neurochirurgie, hôpital Central, CHU de Nancy, 29, avenue de Lattre-de-Tassigny, 54000 Nancy, France. t.civit@chu-nancy.fr

Neuro-Chirurgie

|March 23, 2010

Summary

Sphenoorbital meningiomas are common orbital tumors. Accurate surgical management can reduce proptosis, though complete tumor removal is challenging due to tumor extension.

Area of Science:

Neurosurgery
Ophthalmology
Oncology

Background:

Sphenoorbital meningiomas represent 20% of orbital tumors managed by neurosurgeons.
Proptosis is the primary clinical manifestation of these tumors.
Tumor extension into the superior orbital fissure, cavernous sinus, and periorbita complicates surgical treatment.

Purpose of the Study:

To highlight the challenges in surgical management of sphenoorbital meningiomas.
To emphasize the importance of accurate surgical techniques for proptosis reduction.
To discuss the difficulties associated with complete tumor resection in complex anatomical locations.

Main Methods:

Review of neurosurgical cases involving sphenoorbital meningiomas.
Analysis of surgical outcomes focusing on proptosis reduction and extent of resection.

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Evaluation of tumor extension patterns and their impact on surgical strategy.

Main Results:

Proptosis is a significant clinical sign that can be improved with precise surgical intervention.
Complete resection of sphenoorbital meningiomas is frequently hindered by extensive tumor infiltration.
The superior orbital fissure, cavernous sinus, and periorbita are common sites of tumor extension.

Conclusions:

Effective surgical management is crucial for improving proptosis in sphenoorbital meningiomas.
The complex anatomical involvement necessitates advanced surgical techniques for optimal outcomes.
Achieving complete tumor removal remains a significant challenge in the treatment of these tumors.