Transorbital Neuro-Endoscopic Resection of Sphenoid Wing Meningioma Without Lateral Orbitotomy

Journal of Neurological Surgery Part B Skull Base 2026

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Authors: Evangelos Drosos, Camille K. Milton, Siddarth Kannan, Mahmoud Asad, Cristina Cernei, Michelle Spear, Samantha Vicki Hunt, Rebecca Ford, Kumar Abhinav
DOI: 10.1055/s-0046-1818968
Cited by: 0

Abstract

A 63-year-old woman presented with a slowly enlarging right sphenoid wing meningioma. A transorbital neuroendoscopic approach (TONES) via an eyelid crease incision with orbital rim reduction was chosen. For well selected lesions, the TONES technique enables direct access to the middle cranial fossa with minimal brain retraction and good cosmetic outcomes. With orbital rim reduction, need for lateral orbitotomy may be avoided; however, the orbital contents must be handled carefully to avoid associated visual complications. 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