Intraorbital meningioma: resection through modified orbitozygomatic craniotomy

Area of Science:

• Neurosurgery
• Ophthalmology

Background:

• Intraorbital meningiomas present surgical challenges due to their location and proximity to critical structures.
• Posterior intraorbital lesions necessitate skull base approaches for safe resection.

Purpose of the Study:

• To present the surgical technique for resecting intraorbital meningiomas using a modified orbitozygomatic (OZ) craniotomy.
• To highlight optic nerve decompression nuances during tumor removal.

Main Methods:

• The modified OZ craniotomy approach minimizes frontal lobe retraction, providing enhanced surgical access.
• This technique facilitates optimal working angles for tumor resection in the posterior intraorbital space.

Main Results:

• The modified OZ approach allows for effective exposure and resection of intraorbital meningiomas.
• The technique facilitates safe optic nerve decompression.

Conclusions:

• The modified OZ craniotomy is an effective approach for managing intraorbital meningiomas.
• This technique provides a valuable surgical corridor for complex tumor resections and optic nerve decompression.