15 The Medial Endoscopic Approach to the Orbit
Book
Editors: Borba, Luis A. B.; de Oliveira, Jean G.
Title: Microsurgical and Endoscopic Approaches to the Skull Base
Subtitle: Anatomy, Tactics, and Techniques
Print ISBN: 9781626239661; Online ISBN: 9781684203772; Book DOI: 10.1055/b000000340
1. Edition © 2021. Thieme. All rights reserved.
Thieme Medical Publishers, Inc., New York
Subjects: Neurosurgery;Otorhinolaryngology, Phoniatrics, Audiology
Thieme Clinical Collections (English Language)
Abstract
Endoscopic endonasal resection of orbital intraconal retrobulbar lesions has gained popularity in last few years. In this region, knowledge of anatomy is paramount to orient and guide the surgeon. The aim of this chapter is to describe the anatomy of the orbit from the endoscopic endonasal perspective. Two surgical cases are reported to enlighten the advantages and limits of this approach. We also provided detailed description of the surgical technique, emphasizing the important anatomical landmarks with cadaveric dissection pictures.
At the end of the chapter, the reader will be able to select lesions that can be approach through this route, considering their location and relationship to key anatomical landmarks, thus maximizing its efficacy and reducing its morbidity.
Key words
EEA - medial orbital approach - endoscopic medial orbital approach- 1 Campbell PG, Yadla S, Rosen M, Bilyk JR, Murchison AP, Evans JJ. Endoscopic transnasal cryo-assisted removal of an orbital cavernous hemangioma: a technical note.. Minim Invasive Neurosurg 2011; 54 (1) 41-43 PubMed (PMID: 21509724)
- 2 Gazioglu N, Abuzayed B, Tanriover N. Neuronavigation-guided endoscopic endonasal excision of an intraorbital intraconal cavernous hemangioma.. J Craniofac Surg 2011; 22 (5) 1802-1805 PubMed (PMID: 21959438)
- 3 Yoshimura K, Kubo S, Yoneda H, Hasegawa H, Tominaga S, Yoshimine T. Removal of a cavernous hemangioma in the orbital apex via the endoscopic transnasal approach: a case report.. Minim Invasive Neurosurg 2010; 53 (2) 77-79 PubMed (PMID: 20533139)
- 4 Castelnuovo P, Dallan I, Locatelli D et al. Endoscopic transnasal intraorbital surgery: our experience with 16 cases.. Eur Arch Otorhinolaryngol 2012; 269 (8) 1929-1935 PubMed (PMID: 22237761)
- 5 Monin DL, Blumner K, Cohen NA, Brooks JSJ, Chen C, Kennedy DW. Endoscopic resection of a venous hemangioma of the optic nerve sheath.. Ear Nose Throat J 2005; 84 (9) 586-, 588, 590 passim PubMed (PMID: 16261759)
- 6 Miller NR, Agrawal N, Sciubba JJ, Lane AP. Image-guided transnasal endoscopic resection of an orbital solitary fibrous tumor.. Ophthal Plast Reconstr Surg 2008; 24 (1) 65-67 PubMed (PMID: 18209653)
- 7 Stamm A, Nogueira JF. Orbital cavernous hemangioma: transnasal endoscopic management.. Otolaryngol Head Neck Surg 2009; 141 (6) 794-795 PubMed (PMID: 19932860)
- 8 McKinney KA, Snyderman CH, Carrau RL et al. Seeing the light: endoscopic endonasal intraconal orbital tumor surgery.. Otolaryngol Head Neck Surg 2010; 143 (5) 699-701 PubMed (PMID: 20974343)
- 9 Herman P, Lot G, Silhouette B et al. Transnasal endoscopic removal of an orbital cavernoma.. Ann Otol Rhinol Laryngol 1999; 108 (2) 147-150 PubMed (PMID: 10030232)
- 10 Sethi DS, Lau DP. Endoscopic management of orbital apex lesions.. Am J Rhinol 1997; 11 (6) 449-455 PubMed (PMID: 9438058)
- 11 Karaki M, Kobayashi R, Mori N. Removal of an orbital apex hemangioma using an endoscopic transethmoidal approach: technical note.. Neurosurgery 2006; 59 (1) (Suppl. Suppl 1) E159-E160, discussion E159–E160 PubMed (PMID: 16888560)
- 12 Koutourousiou M, Gardner PA, Stefko ST et al. Combined endoscopic endonasal transorbital approach with transconjunctival-medial orbitotomy for excisional biopsy of the optic nerve: technical note.. J Neurol Surg Rep 2012; 73 (1) 52-56 PubMed (PMID: 23946927)
- 13 Lee JYK, Ramakrishnan VR, Chiu AG, Palmer J, Gausas RE. Endoscopic endonasal surgical resection of tumors of the medial orbital apex and wall.. Clin Neurol Neurosurg 2012; 114 (1) 93-98 PubMed (PMID: 21996582)
- 14 Locatelli M, Carrabba G, Guastella C, Gaini SM, Spagnoli D. Endoscopic endonasal removal of a cavernous hemangioma of the orbital apex.. Surg Neurol Int 2011; 2: 58 PubMed (PMID: 21697974)
- 15 Murchison AP, Rosen MR, Evans JJ, Bilyk JR. Endoscopic approach to the orbital apex and periorbital skull base.. Laryngoscope 2011; 121 (3) 463-467 PubMed (PMID: 21344420)
- 16 Netuka D, Masopust V, Belšán T, Profantová N, Beneš V. Endoscopic endonasal resection of medial orbital lesions with intraoperative MRI.. Acta Neurochir (Wien) 2013; 155 (3) 455-461 PubMed (PMID: 23250581)
- 17 Martins C, Costa E Silva IE, Campero A et al. Microsurgical anatomy of the orbit: the rule of seven.. Anat Res Int 2011; 2011: 468727 PubMed (PMID: 22567293)
- 18 Demirci H, Shields CL, Shields JA, Honavar SG, Mercado GJ, Tovilla JC. Orbital tumors in the older adult population.. Ophthalmology 2002; 109 (2) 243-248 PubMed (PMID: 11825802)
- 19 Khan AM, Varvares MA. Traditional approaches to the orbit.. Otolaryngol Clin North Am 2006; 39 (5) 895-909, vi PubMed (PMID: 16982253)
- 20 Gabibov GA, Blinkov SM, Tcherekayev VA. The management of optic nerve meningiomas and gliomas.. J Neurosurg 1988; 68 (6) 889-893 PubMed (PMID: 3373283)
- 21 Scholz M, Parvin R, Thissen J, Löhnert C, Harders A, Blaeser K. Skull base approaches in neurosurgery.. Head Neck Oncol 2010; 2: 16 PubMed (PMID: 20602753)
- 22 Rohde V, Schaller K, Hassler W. The combined pterional and orbitocygomatic approach to extensive tumours of the lateral and latero-basal orbit and orbital apex.. Acta Neurochir (Wien) 1995; 132 (1–3) 127-130 PubMed (PMID: 7754846)
- 23 Hernesniemi J, Ishii K, Niemelä M et al. Lateral supraorbital approach as an alternative to the classical pterional approach.. Acta Neurochir Suppl (Wien) 2005; 94: 17-21 PubMed (PMID: 16060236)
- 24 Liu Y, Ma J-R, Xu X-L. Transcranial surgery through pterional approach for removal of cranio-orbital tumors by an interdisciplinary team of nurosurgeons and ophthalmologists.. Int J Ophthalmol 2012; 5 (2) 212-216 PubMed (PMID: 22762053)
- 25 Hassler WE, Meyer B, Rohde V, Unsöld R. Pterional approach to the contralateral orbit.. Neurosurgery 1994; 34 (3) 552-554, discussion 554 PubMed (PMID: 8190236)