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Updated: Feb 11, 2026

Endoscopic Cholesteatoma Surgery
Published on: January 19, 2022
Endoscopic transorbital surgery for spheno-orbital lesions: how I do it
Cesare Zoia1,2, Daniele Bongetta1,3, Paolo Gaetani1
1Neurosurgery Unit, IRCCS Fondazione Policlinico San Matteo, Pavia, Italy.
Background:
The endoscopic transorbital approach has been recently proposed for the surgical management of spheno-orbital lesions as an alternative to craniotomy surgeries.
Method:
We analyze the technical nuances and what we have changed as our experience increased after the first operations performed for 12 different spheno-orbital lesions.
Conclusion:
The endoscopic transorbital approach is useful for the treatment of selected spheno-orbital lesions and could represent an interesting option in experienced hands. More studies are needed to fully understand its potentialities and limitations.
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