Exoscopic Robotic Transorbital Trans-Eyelid Approach for Resection of Middle Fossa Meningioma

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Authors: Abdulrahman A. Albakr, Mikaeel Kassam, Melanie Fukui, Neil Mundi, Stephen Winkler, Amin B. Kassam
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Abstract

The trans-eyelid transorbital approach offers a minimally invasive route to the middle cranial fossa, reducing the need for brain retraction. The authors describe the case of a 79-year-old female who presented with headache. MRI revealed a middle fossa lesion with edema. An Exoscopic Robotic trans-eyelid transorbital approach was performed. MRI demonstrated complete resection, and histopathological examination confirmed a WHO grade I meningioma. The patient was discharged within 24 hours of surgery without new neurological deficits 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 Neurosurgical Procedures and Complications Head and Neck Surgical Oncology

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