Transorbital Approach Resection of Abducens Nerve Schwannoma at Orbital Apex
Abstract
A 33-year-old male with diplopia on lateral gaze had an MRI showing an enhancing mass at the orbital apex. It was resected via a transorbital approach. The lesser wing of the sphenoid and sagittal crest were drilled to expose the superior orbital fissure and orbital apex. The tumor was then carefully dissected and removed. He experienced a postoperative sixth nerve palsy, which resolved completely within one year. 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
Neurofibromatosis and Schwannoma Cases
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