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Transcranial enucleation for optic nerve tumor

J G Sacks, J E McLennan

    Neurosurgery
    |August 1, 1981
    PubMed
    Summary

    Transcranial enucleation offers a superior surgical approach for eye and optic nerve tumors. This technique allows for complete tumor removal from the orbit to the chiasm, unlike conventional methods.

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    Area of Science:

    • Ophthalmology
    • Neurosurgery
    • Oncology

    Background:

    • Tumors affecting the eye and optic nerve pose significant surgical challenges.
    • Conventional enucleation techniques are limited in exploring the optic nerve and ensuring complete tumor removal.
    • These methods may involve transecting tumor-infiltrated tissues, increasing risks.

    Purpose of the Study:

    • To introduce and evaluate transcranial enucleation as a surgical solution for orbital tumors involving the optic nerve.
    • To compare the efficacy of transcranial enucleation with conventional enucleation techniques for these specific tumor types.

    Main Methods:

    • Description of the transcranial enucleation surgical technique.
    • Comparison of surgical outcomes, including tumor visualization and extent of resection, between transcranial and conventional enucleation.

    Main Results:

    • Transcranial enucleation allows for direct inspection of the tumor from the posterior globe to the optic chiasm.
    • This approach facilitates en bloc tumor removal, addressing limitations of conventional methods.
    • Ensures more comprehensive tumor resection within the orbit and along the optic nerve.

    Conclusions:

    • Transcranial enucleation provides a more effective surgical strategy for managing tumors of the eye and optic nerve.
    • This technique enhances tumor visualization and enables complete resection, improving patient outcomes.

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