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Updated: May 24, 2025

Endoscopic Endonasal Trans-sphenoidal Approach: Minimally Invasive Surgery for Pituitary Adenomas
Published on: January 17, 2018
Transpalpebral lateral orbital approach for epidermoid cyst of the sphenoid wing
John Chen1, Michael Rothschild2, Robert Heller3
1Neurosurgery, Albany Medical College, Albany, New York, USA chenj3@amc.edu.
Abstract:
Bone lesions of the lateral orbit are commonly indicated for surgical resection. While surgeons have a plethora of techniques to choose from, the transpalpebral approach offers a minimally invasive corridor with favourable outcomes. In this report, we describe this approach in further detail for the treatment of an epidermoid cyst arising from the sphenoid wing and lateral orbit in a female in her 50s. This patient underwent a successful transpalpebral lateral orbital approach for their sphenoid wing and orbital rim bone lesion at a tertiary medical centre. The surgical length was 110 min and the hospital stay was 1 day. The patient did not experience complications. The transpalpebral lateral orbital approach offers a minimally invasive surgical corridor to the sphenoid wing and orbital rim.
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