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The Transorbital Approach, A Game-Changer in Neurosurgery: A Guide to Safe and Reliable Surgery Based on Anatomical Principles

During the last few years, the superior eyelid endoscopic transorbital approach has been proposed as a new minimally invasive pathway to access skull base lesions, mostly in ophthalmologic, otolaryngologic, and maxillofacial surgeries. However, most neurosurgeons performing minimally invasive endosc...

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Autores principales: de Notaris, Matteo, Sacco, Matteo, Corrivetti, Francesco, Grasso, Michele, Corvino, Sergio, Piazza, Amedeo, Kong, Doo-Sik, Iaconetta, Giorgio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10607762/
https://www.ncbi.nlm.nih.gov/pubmed/37892624
http://dx.doi.org/10.3390/jcm12206484
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author de Notaris, Matteo
Sacco, Matteo
Corrivetti, Francesco
Grasso, Michele
Corvino, Sergio
Piazza, Amedeo
Kong, Doo-Sik
Iaconetta, Giorgio
author_facet de Notaris, Matteo
Sacco, Matteo
Corrivetti, Francesco
Grasso, Michele
Corvino, Sergio
Piazza, Amedeo
Kong, Doo-Sik
Iaconetta, Giorgio
author_sort de Notaris, Matteo
collection PubMed
description During the last few years, the superior eyelid endoscopic transorbital approach has been proposed as a new minimally invasive pathway to access skull base lesions, mostly in ophthalmologic, otolaryngologic, and maxillofacial surgeries. However, most neurosurgeons performing minimally invasive endoscopic neurosurgery do not usually employ the orbit as a surgical corridor. The authors undertook this technical and anatomical study to contribute a neurosurgical perspective, exploring the different possibilities of this novel route. Ten dissections were performed on ten formalin-fixed specimens to further refine the transorbital technique. As part of the study, the authors also report an illustrative transorbital surgery case to further detail key surgical landmarks. Herein, we would like to discuss equipment, key anatomical landmarks, and surgical skills and stress the steps and details to ensure a safe and successful procedure. We believe it could be critical to promote and encourage the neurosurgical community to overcome difficulties and ensure a successful surgery by following these key recommendations.
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spelling pubmed-106077622023-10-28 The Transorbital Approach, A Game-Changer in Neurosurgery: A Guide to Safe and Reliable Surgery Based on Anatomical Principles de Notaris, Matteo Sacco, Matteo Corrivetti, Francesco Grasso, Michele Corvino, Sergio Piazza, Amedeo Kong, Doo-Sik Iaconetta, Giorgio J Clin Med Article During the last few years, the superior eyelid endoscopic transorbital approach has been proposed as a new minimally invasive pathway to access skull base lesions, mostly in ophthalmologic, otolaryngologic, and maxillofacial surgeries. However, most neurosurgeons performing minimally invasive endoscopic neurosurgery do not usually employ the orbit as a surgical corridor. The authors undertook this technical and anatomical study to contribute a neurosurgical perspective, exploring the different possibilities of this novel route. Ten dissections were performed on ten formalin-fixed specimens to further refine the transorbital technique. As part of the study, the authors also report an illustrative transorbital surgery case to further detail key surgical landmarks. Herein, we would like to discuss equipment, key anatomical landmarks, and surgical skills and stress the steps and details to ensure a safe and successful procedure. We believe it could be critical to promote and encourage the neurosurgical community to overcome difficulties and ensure a successful surgery by following these key recommendations. MDPI 2023-10-12 /pmc/articles/PMC10607762/ /pubmed/37892624 http://dx.doi.org/10.3390/jcm12206484 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
de Notaris, Matteo
Sacco, Matteo
Corrivetti, Francesco
Grasso, Michele
Corvino, Sergio
Piazza, Amedeo
Kong, Doo-Sik
Iaconetta, Giorgio
The Transorbital Approach, A Game-Changer in Neurosurgery: A Guide to Safe and Reliable Surgery Based on Anatomical Principles
title The Transorbital Approach, A Game-Changer in Neurosurgery: A Guide to Safe and Reliable Surgery Based on Anatomical Principles
title_full The Transorbital Approach, A Game-Changer in Neurosurgery: A Guide to Safe and Reliable Surgery Based on Anatomical Principles
title_fullStr The Transorbital Approach, A Game-Changer in Neurosurgery: A Guide to Safe and Reliable Surgery Based on Anatomical Principles
title_full_unstemmed The Transorbital Approach, A Game-Changer in Neurosurgery: A Guide to Safe and Reliable Surgery Based on Anatomical Principles
title_short The Transorbital Approach, A Game-Changer in Neurosurgery: A Guide to Safe and Reliable Surgery Based on Anatomical Principles
title_sort transorbital approach, a game-changer in neurosurgery: a guide to safe and reliable surgery based on anatomical principles
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10607762/
https://www.ncbi.nlm.nih.gov/pubmed/37892624
http://dx.doi.org/10.3390/jcm12206484
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