Endoscopic Trans-Orbital Approach with a Modified Lateral Orbitotomy for Spheno-Orbital Meningioma Resection

Journal of Neurological Surgery Part B Skull Base 2026

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Authors: Kristen Marciniuk, Akshay Save, Carter M. Suryadevara, Hannah Weiss, Stella Y. Chung, John G. Golfinos, Donato R. Pacione
DOI: 10.1055/s-0046-1818967
Cited by: 0

Abstract

This video demonstrates an extended trans-orbital approach for the resection of a right spheno-orbital meningioma. We utilized a modified lateral orbitotomy leaving the orbital rim in place connected to the temporalis muscle with osteotomies facilitating mobilization of the segment to achieve the desired lateral to medial operative trajectories. This approach did not compromise the operative corridor or require a compensatory increase in globe retraction. Reconstruction was simplified with improved cosmesis and decreased morbidity. Publication History Article published online: 27 February 2026 © 2026. Thieme. All rights reserved. Georg Thieme Verlag KG Oswald-Hesse-Straße 50, 70469 Stuttgart, Germany

Fields of Study & Subjects

Meningioma and schwannoma management Head and Neck Surgical Oncology Neurosurgical Procedures and Complications

Publication details

Journal / source
Journal of Neurological Surgery Part B Skull Base
Volume
87
Issue
S 01
Pages
S1–S548
Publication date
27 February 2026
Language
EN