SURG-62. Endoscopic transorbital surgery for tumors occupying the cavernous sinus Article Swipe
Access to the cavernous sinus and its exposure demands technical challenges. Recently, the endoscopic transorbital surgery has been rapidly advancing as a technique for minimally invasive surgery and expanding its scope including the approach to the cavernous sinus. The authors assess the feasibility and effectiveness of endoscopic transorbital approach for lesions involving the cavernous sinus. A retrospective analysis was performed on 10 patients who underwent endoscopic transorbital surgery or extended endoscopic transorbital approach for tumors involving the cavernous sinus between January 2020 and June 2024. Tumor characteristics, pathology, the extent of resection, and surgical outcomes were reviewed to evaluate the feasibility of endoscopic transorbital approach. In this study, gross-total resection (GTR) and near-total resection (NTR) were achieved in 7 and 2 patients, respectively. The GTR/NTR rates for ETOA (90%) were higher than that of craniotomy (50%) (conventional fronto-temporal approach or pterional approach). Six patients were diagnosed with meningioma who was underwent GTR and the other 4 tumors were trigeminal schwannoma where 3 of them attained GTR or NTR. The mean follow-up period was 13.8 months (range 1-45.9). There was no tumor recurrence for the follow-up period. Three patients experienced surgical complications such as transient diplopia (n=1) and paresthesia (n=2) occurred. There were no postoperative CSF leaks. Any new-onset neurologic deficit associated with ETOA did not occur in all the patients. ETOA offers effective and safe access in treatment of tumors involving the cavernous sinus with a minimally invasive surgery. This study prospects that most of tumors located in the middle cranial fossa can be treated with ETOA safely.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1093/neuonc/noaf201.1616
- https://academic.oup.com/neuro-oncology/article-pdf/27/Supplement_5/v408/65258426/noaf201.1616.pdf
- OA Status
- bronze
- OpenAlex ID
- https://openalex.org/W7104606177
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W7104606177Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1093/neuonc/noaf201.1616Digital Object Identifier
- Title
-
SURG-62. Endoscopic transorbital surgery for tumors occupying the cavernous sinusWork title
- Type
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articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2025Year of publication
- Publication date
-
2025-11-01Full publication date if available
- Authors
-
JUHEE JUNList of authors in order
- Landing page
-
https://doi.org/10.1093/neuonc/noaf201.1616Publisher landing page
- PDF URL
-
https://academic.oup.com/neuro-oncology/article-pdf/27/Supplement_5/v408/65258426/noaf201.1616.pdfDirect link to full text PDF
- Open access
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YesWhether a free full text is available
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bronzeOpen access status per OpenAlex
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https://academic.oup.com/neuro-oncology/article-pdf/27/Supplement_5/v408/65258426/noaf201.1616.pdfDirect OA link when available
- Concepts
-
Medicine, Cavernous sinus, Surgery, Diplopia, Schwannoma, Craniotomy, Meningioma, Retrospective cohort study, Esthesioneuroblastoma, Endoscopy, Trigeminal nerve, Radiosurgery, Endoscope, Anterior cranial fossa, Middle cranial fossa, Sinus (botany), Radiology, Cosmesis, Resection, Internal carotid arteryTop concepts (fields/topics) attached by OpenAlex
- Cited by
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0Total citation count in OpenAlex
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| abstract_inverted_index.occurred. | 200 |
| abstract_inverted_index.patients, | 122 |
| abstract_inverted_index.patients. | 220 |
| abstract_inverted_index.performed | 60 |
| abstract_inverted_index.prospects | 242 |
| abstract_inverted_index.pterional | 141 |
| abstract_inverted_index.resection | 110, 114 |
| abstract_inverted_index.technical | 10 |
| abstract_inverted_index.technique | 23 |
| abstract_inverted_index.transient | 194 |
| abstract_inverted_index.treatment | 228 |
| abstract_inverted_index.underwent | 65, 151 |
| abstract_inverted_index.approach). | 142 |
| abstract_inverted_index.associated | 211 |
| abstract_inverted_index.craniotomy | 135 |
| abstract_inverted_index.endoscopic | 14, 47, 66, 71, 103 |
| abstract_inverted_index.meningioma | 148 |
| abstract_inverted_index.near-total | 113 |
| abstract_inverted_index.neurologic | 209 |
| abstract_inverted_index.pathology, | 88 |
| abstract_inverted_index.recurrence | 182 |
| abstract_inverted_index.resection, | 92 |
| abstract_inverted_index.schwannoma | 160 |
| abstract_inverted_index.trigeminal | 159 |
| abstract_inverted_index.challenges. | 11 |
| abstract_inverted_index.experienced | 189 |
| abstract_inverted_index.feasibility | 43, 101 |
| abstract_inverted_index.gross-total | 109 |
| abstract_inverted_index.paresthesia | 198 |
| abstract_inverted_index.transorbital | 15, 48, 67, 72, 104 |
| abstract_inverted_index.(conventional | 137 |
| abstract_inverted_index.complications | 191 |
| abstract_inverted_index.effectiveness | 45 |
| abstract_inverted_index.postoperative | 204 |
| abstract_inverted_index.respectively. | 123 |
| abstract_inverted_index.retrospective | 57 |
| abstract_inverted_index.fronto-temporal | 138 |
| abstract_inverted_index.characteristics, | 87 |
| cited_by_percentile_year | |
| countries_distinct_count | 0 |
| institutions_distinct_count | 1 |
| citation_normalized_percentile.value | 0.79755006 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | False |