Alberto Di Somma1, Juan Carlos Sanchez España2, Isam Alobid3, Joaquim Enseñat4. 1. Departments of Neurological Surgery, Hospital Clínic de Barcelona, Barcelona, Spain. adisomma@clinic.cat. 2. Department of Ophthalmology, Hospital Clínic de Barcelona, Barcelona, Spain. 3. Department of Otorhinolaryngology, Hospital Clínic de Barcelona, Barcelona, Spain. 4. Departments of Neurological Surgery, Hospital Clínic de Barcelona, Barcelona, Spain.
Abstract
BACKGROUND: The endoscopic transorbital approach to the skull base is currently growing in popularity, and it is nowadays progressively used as a skull base approach. Clinical experience, along with detailed anatomical knowledge, makes this technique safe and effective. METHOD: We present a step by step description of our technique based on the most recent anatomic references, and clinical experience. In order to better understand every phase of the procedure, we propose to keep on the following scheme, that is (1) skin phase; (2) working space; (3) lesion removal; (4) reconstruction. Hence, alone or in combination with the well-known endonasal pathway, the transorbital avenue seems to be a useful approach for selected skull base lesions. We present our technique, along with an anatomic analysis on cadaveric specimens. CONCLUSIONS: Detailed knowledge of surgical anatomy, and a specific stepwise analysis of each part of the surgical procedure, is notably useful in order to safely and effectively perform a superior eyelid endoscopic transorbital surgery to the skull base.
BACKGROUND: The endoscopic transorbital approach to the skull base is currently growing in popularity, and it is nowadays progressively used as a skull base approach. Clinical experience, along with detailed anatomical knowledge, makes this technique safe and effective. METHOD: We present a step by step description of our technique based on the most recent anatomic references, and clinical experience. In order to better understand every phase of the procedure, we propose to keep on the following scheme, that is (1) skin phase; (2) working space; (3) lesion removal; (4) reconstruction. Hence, alone or in combination with the well-known endonasal pathway, the transorbital avenue seems to be a useful approach for selected skull base lesions. We present our technique, along with an anatomic analysis on cadaveric specimens. CONCLUSIONS: Detailed knowledge of surgical anatomy, and a specific stepwise analysis of each part of the surgical procedure, is notably useful in order to safely and effectively perform a superior eyelid endoscopic transorbital surgery to the skull base.
Authors: João Paulo Almeida; Sacit B Omay; Sathwik R Shetty; Yu-Ning Chen; Armando S Ruiz-Treviño; Buqing Liang; Vijay K Anand; Benjamin Levine; Theodore H Schwartz Journal: J Neurosurg Date: 2017-09-01 Impact factor: 5.115
Authors: Alberto Di Somma; Norberto Andaluz; Luigi Maria Cavallo; Matteo de Notaris; Iacopo Dallan; Domenico Solari; Lee A Zimmer; Jeffrey T Keller; Mario Zuccarello; Alberto Prats-Galino; Paolo Cappabianca Journal: J Neurosurg Date: 2018-11-01 Impact factor: 5.115
Authors: Giulia Guizzardi; Alberto Di Somma; Matteo de Notaris; Francesco Corrivetti; Juan Carlos Sánchez; Isam Alobid; Abel Ferres; Pedro Roldan; Luis Reyes; Joaquim Enseñat; Alberto Prats-Galino Journal: Front Oncol Date: 2022-09-02 Impact factor: 5.738