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Endoscopic superior eyelid transorbital approach: how I do it
Alberto Di Somma1, Juan Carlos Sanchez España2, Isam Alobid3
1Departments of Neurological Surgery, Hospital Clínic de Barcelona, Barcelona, Spain. adisomma@clinic.cat.
Acta Neurochirurgica
|March 11, 2022
Summary
The endoscopic transorbital approach is a safe and effective skull base surgery technique. Detailed anatomical knowledge and stepwise surgical analysis are crucial for successful outcomes in this minimally invasive procedure.
Area of Science:
- Neurosurgery
- Minimally Invasive Surgery
- Skull Base Surgery
Background:
- The endoscopic transorbital approach is gaining popularity for skull base surgery.
- This technique is considered safe and effective with sufficient clinical experience and anatomical knowledge.
Purpose of the Study:
- To present a step-by-step description of the endoscopic transorbital approach.
- To highlight the importance of anatomical knowledge and surgical experience for this technique.
Main Methods:
- The technique is described in four phases: skin, working space, lesion removal, and reconstruction.
- Anatomical analysis was performed on cadaveric specimens.
- The approach can be used alone or combined with the endonasal pathway.
Main Results:
- The endoscopic transorbital approach is a viable option for selected skull base lesions.
- The described stepwise approach facilitates understanding and execution of the procedure.
Conclusions:
- Detailed knowledge of surgical anatomy is essential for safe and effective endoscopic transorbital surgery to the skull base.
- A stepwise analysis of the surgical procedure enhances safety and efficacy.
