PDF herunterladen
J Neurol Surg B Skull Base 2022; 83(S 02): e395-e400
DOI: 10.1055/s-0041-1729909
Original Article

Endoscopic Endonasal versus Transcranial Optic Canal Decompression: A Morphometric, Cadaveric Study

Jun Kim   *
1   Department of Neurological Surgery, Southwestern Medical Center, University of Texas, Dallas, Texas, United States
,
Aaron R Plitt   *
1   Department of Neurological Surgery, Southwestern Medical Center, University of Texas, Dallas, Texas, United States
,
Awais Vance
1   Department of Neurological Surgery, Southwestern Medical Center, University of Texas, Dallas, Texas, United States
,
Scott Connors
1   Department of Neurological Surgery, Southwestern Medical Center, University of Texas, Dallas, Texas, United States
,
James Caruso
1   Department of Neurological Surgery, Southwestern Medical Center, University of Texas, Dallas, Texas, United States
,
Babu Welch
1   Department of Neurological Surgery, Southwestern Medical Center, University of Texas, Dallas, Texas, United States
,
Tomas Garzon-Muvdi
1   Department of Neurological Surgery, Southwestern Medical Center, University of Texas, Dallas, Texas, United States
› Institutsangaben Funding None.
› Weitere Informationen
Auch verfügbar auf
    Lizenzen und Reprints

Abstract

Introduction Decompression of the optic nerve within the optic canal is indicated for compressive visual decline. The two most common approaches utilized for optic canal decompression are a medial approach with an endoscopic endonasal approach and a lateral approach with a craniotomy. Our study is a cadaveric anatomical study comparing the length and circumference of the orbit decompressed via an endoscopic endonasal approach versus a frontotemporal craniotomy.

Methods Five cadaveric specimens were utilized. Predissection computed tomography (CT) scans were performed on each specimen. On each specimen, a standard frontotemporal craniotomy with anterior clinoidectomy and superolateral orbital decompression was performed on one side and an endoscopic endonasal approach with medial wall decompression was performed on the contralateral side. Post-dissection CT scans were performed. An independent radiologist provided measurements of the length (mm) and circumference (degrees) of optic canal decompression bilaterally.

Results The mean length of optic canal decompression for open and endoscopic approach was 13 mm (range 12–15 mm) and 12.4 mm (range 10–16 mm), respectively. The mean circumference of decompression for open and endoscopic approaches was 252.8 degrees (range 205–280 degrees) and 124.6 degrees (range 100–163 degrees), respectively.

Conclusion The endoscopic endonasal and the transcranial approaches provide a similar length of optic canal decompression, but the transcranial approach leads to greater circumferential decompression. The endoscopic endonasal approach has the benefit of being minimally invasive, though. Ultimately, the surgical approach decision should be based on the location of the pathology and the surgeon's comfort.

Keywords

orbit - optic canal - optic canal decompression - endoscopic endonasal approach - frontotemporal craniotomy

* Co-authorship.




Publikationsverlauf

Eingereicht: 29. August 2020

Angenommen: 19. März 2021

Artikel online veröffentlicht:
29. Mai 2021

© 2021. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

  • References

  • 1 Slavin KV, Dujovny M, Soeira G, Ausman JI. Optic canal: microanatomic study. Skull Base Surg 1994; 4 (03) 136-144
    Thieme ConnectPubMedSuche in Google Scholar
  • 2 Mesquita Filho PM, Prevedello DM, Prevedello LM. et al. Optic canal decompression: comparison of 2 surgical techniques. World Neurosurg 2017; 104: 745-751
    CrossrefPubMedSuche in Google Scholar
  • 3 Abhinav K, Acosta Y, Wang WH. et al. Endoscopic endonasal approach to the optic canal: anatomic considerations and surgical relevance. Neurosurgery 2015; 11 (Suppl. 03) 431-445 , discussion 445–446
    PubMedSuche in Google Scholar
  • 4 Emanuelli E, Bignami M, Digilio E, Fusetti S, Volo T, Castelnuovo P. Post-traumatic optic neuropathy: our surgical and medical protocol. Eur Arch Otorhinolaryngol 2015; 272 (11) 3301-3309
    CrossrefPubMedSuche in Google Scholar
  • 5 Li H, Zhou B, Shi J, Cheng L, Wen W, Xu G. Treatment of traumatic optic neuropathy: our experience of endoscopic optic nerve decompression. J Laryngol Otol 2008; 122 (12) 1325-1329
    CrossrefPubMedSuche in Google Scholar
  • 6 Bowers CA, Sorour M, Patel BC, Couldwell WT. Outcomes after surgical treatment of meningioma-associated proptosis. J Neurosurg 2016; 125 (03) 544-550
    CrossrefPubMedSuche in Google Scholar
  • 7 Carta F, Siccardi D, Cossu M, Viola C, Maiello M. Removal of tumours of the orbital apex via a postero-lateral orbitotomy. J Neurosurg Sci 1998; 42 (04) 185-188
    PubMedSuche in Google Scholar
  • 8 Rimmer RA, Graf AE, Fastenberg JH. et al. Management of orbital masses: outcomes of endoscopic and combined approaches with no orbital reconstruction. Allergy Rhinol (Providence) 2020; 11: 2152656719899922
    CrossrefPubMedSuche in Google Scholar
  • 9 Beer-Furlan A, Evins AI, Rigante L. et al. Endoscopic extradural anterior clinoidectomy and optic nerve decompression through a pterional port. J Clin Neurosci 2014; 21 (05) 836-840
    CrossrefPubMedSuche in Google Scholar
  • 10 Berhouma M, Jacquesson T, Abouaf L, Vighetto A, Jouanneau E. Endoscopic endonasal optic nerve and orbital apex decompression for nontraumatic optic neuropathy: surgical nuances and review of the literature. Neurosurg Focus 2014; 37 (04) E19
    CrossrefPubMedSuche in Google Scholar
  • 11 Bingham CM, Harris MA, Vidor IA. et al. Transcranial orbital decompression for progressive compressive optic neuropathy after 3-wall decompression in severe graves' orbitopathy. Ophthal Plast Reconstr Surg 2014; 30 (03) 215-218
    CrossrefPubMedSuche in Google Scholar
  • 12 Kong DS, Shin HJ, Kim HY. et al. Endoscopic optic canal decompression for compressive optic neuropathy. J Clin Neurosci 2011; 18 (11) 1541-1545
    CrossrefPubMedSuche in Google Scholar
  • 13 Jefferis JM, Jones RK, Currie ZI, Tan JH, Salvi SM. Orbital decompression for thyroid eye disease: methods, outcomes, and complications. Eye (Lond) 2018; 32 (03) 626-636
    CrossrefPubMedSuche in Google Scholar
  • 14 Mehta P, Durrani OM. Outcome of deep lateral wall rim-sparing orbital decompression in thyroid-associated orbitopathy: a new technique and results of a case series. Orbit 2011; 30 (06) 265-268
    CrossrefPubMedSuche in Google Scholar
  • 15 Sellari-Franceschini S, Berrettini S, Santoro A. et al. Orbital decompression in graves' ophthalmopathy by medial and lateral wall removal. Otolaryngol Head Neck Surg 2005; 133 (02) 185-189
    CrossrefPubMedSuche in Google Scholar
  • 16 Castelnuovo P, Turri-Zanoni M, Battaglia P, Locatelli D, Dallan I. Endoscopic endonasal management of orbital pathologies. Neurosurg Clin N Am 2015; 26 (03) 463-472
    CrossrefPubMedSuche in Google Scholar
  • 17 Dallan I, Lenzi R, de Notaris M. et al. Quantitative study on endoscopic endonasal approach to the posterior sino-orbito-cranial interface: implications and clinical considerations. Eur Arch Otorhinolaryngol 2014; 271 (08) 2197-2203
    CrossrefPubMedSuche in Google Scholar
  • 18 Di Somma A, Cavallo LM, de Notaris M. et al. Endoscopic endonasal medial-to-lateral and transorbital lateral-to-medial optic nerve decompression: an anatomical study with surgical implications. J Neurosurg 2017; 127 (01) 199-208
    CrossrefPubMedSuche in Google Scholar
  • 19 Lal D, Stankiewicz JA. Endoscopic optic nerve decompression. Oper Tech Otolaryngol—Head Neck Surg 2009; 20 (02) 96-100
    CrossrefPubMedSuche in Google Scholar
  • 20 Locatelli M, Caroli M, Pluderi M. et al. Endoscopic transsphenoidal optic nerve decompression: an anatomical study. Surg Radiol Anat 2011; 33 (03) 257-262
    CrossrefPubMedSuche in Google Scholar
  • 21 Lund VJ, Rose GE. Endoscopic transnasal orbital decompression for visual failure due to sphenoid wing meningioma. Eye (Lond) 2006; 20 (10) 1213-1219
    CrossrefPubMedSuche in Google Scholar
  • 22 Pletcher SD, Metson R. Endoscopic optic nerve decompression for nontraumatic optic neuropathy. Arch Otolaryngol Head Neck Surg 2007; 133 (08) 780-783
    CrossrefPubMedSuche in Google Scholar
  • 23 Sieskiewicz A, Lyson T, Mariak Z, Rogowski M. Endoscopic trans-nasal approach for biopsy of orbital tumours using image-guided neuro-navigation system. Acta Neurochir (Wien) 2008; 150 (05) 441-445 , discussion 445
    CrossrefPubMedSuche in Google Scholar
  • 24 Chiarullo M, Mura J, Rubino P. et al; Study of Feasibility and Proof of Concept. Technical description of minimally invasive extradural anterior clinoidectomy and optic nerve decompression. World Neurosurg 2019; 129: e502-e513
    CrossrefPubMedSuche in Google Scholar
  • 25 Di Somma A, Andaluz N, Gogela SL. et al. Surgical freedom evaluation during optic nerve decompression: laboratory investigation. World Neurosurg 2017; 101: 227-235
    CrossrefPubMedSuche in Google Scholar
  • 26 Gogela SL, Zimmer LA, Keller JT, Andaluz N. Refining operative strategies for optic nerve decompression: a morphometric analysis of transcranial and endoscopic endonasal techniques using clinical parameters. Oper Neurosurg (Hagerstown) 2018; 14 (03) 295-302
    CrossrefPubMedSuche in Google Scholar
  • 27 McDermott MW, Durity FA, Rootman J, Woodhurst WB. Combined frontotemporal-orbitozygomatic approach for tumors of the sphenoid wing and orbit. Neurosurgery 1990; 26 (01) 107-116
    CrossrefPubMedSuche in Google Scholar
  • 28 Yang Y, Wang H, Shao Y, Wei Z, Zhu S, Wang J. Extradural anterior clinoidectomy as an alternative approach for optic nerve decompression: anatomic study and clinical experience. Neurosurgery 2006; 59 (04, Suppl 2): discussion ONS262 ONS253-ONS262
    PubMedSuche in Google Scholar
  • 29 Murchison AP, Rosen MR, Evans JJ, Bilyk JR. Endoscopic approach to the orbital apex and periorbital skull base. Laryngoscope 2011; 121 (03) 463-467
    CrossrefPubMedSuche in Google Scholar
  • 30 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 (03) 455-461
    CrossrefPubMedSuche in Google Scholar
  • 31 Paluzzi A, Gardner PA, Fernandez-Miranda JC. et al. “Round-the-clock” surgical access to the orbit. J Neurol Surg B Skull Base 2015; 76 (01) 12-24
    PubMedSuche in Google Scholar
  • 32 Turri-Zanoni M, Dallan I, Terranova P. et al. Frontoethmoidal and intraorbital osteomas: exploring the limits of the endoscopic approach. Arch Otolaryngol Head Neck Surg 2012; 138 (05) 498-504
    CrossrefPubMedSuche in Google Scholar
  • 33 Michalinos A, Zogana S, Kotsiomitis E, Mazarakis A, Troupis T. Anatomy of the ophthalmic artery: a review concerning its modern surgical and clinical applications. Anat Res Int 2015; 2015: 591961
    PubMedSuche in Google Scholar
  • 34 Snyderman C, Kassam A, Carrau R, Mintz A, Gardner P, Prevedello DM. Acquisition of surgical skills for endonasal skull base surgery: a training program. Laryngoscope 2007; 117 (04) 699-705
    CrossrefPubMedSuche in Google Scholar