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Updated: Feb 24, 2026

Role of Diffusion MRI Tractography in Endoscopic Endonasal Skull Base Surgery
Published on: July 5, 2021
Sight preserving orbital decompression: a novel multidisciplinary approach to managing severe proptosis in
George Henry Lafford1, Simon James Eccles2, Jahrad Haq2
1Craniofacial Unit, Imperial College Faculty of Medicine-Chelsea and Westminster Campus, London, UK.
Abstract:
We describe the importance of collaboration between multiple surgical specialties in managing a complex case of sight-threatening severe proptosis in a young woman with type 2 neurofibromatosis (NF2) complicated by pre-existing contralateral blindness. Trans-nasal and lateral orbital surgical approaches were aided by stereotactic navigation to debulk a large frontal/sphenoid wing meningioma, which had been exerting pressure onto the right globe and optic nerve. The patient made an excellent postoperative recovery along with preserved residual visual acuity, normal neurology and a good aesthetic outcome.
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