Functional and clinical outcomes after superior eyelid transorbital endoscopic approach for spheno-orbital meningiomas: illustrative case and literature review

Corvino, Sergio; Sacco, Matteo Antonio; Somma, Teresa; Berardinelli, Jacopo; Ugga, Lorenzo; Colamaria, Antonio; Corrivetti, Francesco; İaconetta, Giorgio; Kong, Doo‐Sik; Notaris, Matteo de

doi:10.1007/s10143-022-01926-w

Cited by 28 publications

(28 citation statements)

References 39 publications

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“…28,29 Surgical techniques such as endoscopic transorbital surgery or lateral orbitotomy make ACP removal more challenging compared to the pterional or fronto-orbito-zygomatic approach and may increase surgical morbidity. 30,31 Preemptive removal of the ACP in our series significantly delayed or obviated the need for reoperation to treat compressive optic neuropathy from recurrent or progressive disease. Grade I tumors with ACP removal at the time of primary surgical intervention were found to have a statistically significantly lower rate of recurrence.…”

Section: Discussionmentioning

confidence: 86%

Spheno-Orbital Meningioma - Treatment Outcomes and Factors Influencing Recurrence

Tran

Maniar

Tooley

et al. 2023

Ophthalmic Plastic &Amp; Reconstructive Surgery

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Purpose: To determine treatment outcomes, recurrence rates, and predictors of recurrence, to inform future therapeutic approaches for spheno-orbital meningiomas (SOM).Methods: A retrospective single-center study of SOM treated from 1990 to 2021 was conducted with comprehensive neuro-ophthalmologic follow-up at Columbia University Medical Center (CUMC). Recurrence requiring reintervention was defined clinically as worsening of visual acuity, visual field defect, or ocular motility after an initial period of stabilization or 6 months of improvement following treatment, or radiologically as either a regrowth with an increase in tumor size by 20% at the site of previous growth or a new region of tumor growth.Results: In total 46 patients met the inclusion criteria. The mean follow-up was 106 months (range 1-303). Dictated by the phenotype of the disease, patients underwent either gross-(50%), near-(17%), or subtotal resection (26%). Removal of the anterior clinoid process (ACP) was performed in 52% of patients. Nine patients (20%) required an enucleation or exenteration. Radiotherapy was employed at some point of treatment in 50% of cases. Inherited cases (24%) were referred to CUMC for treatment following 1 or more recurrences. The total recurrence rate, including inherited cases, was 54%, occurring at a mean interval of 43 months. The recurrence rate of patients treated solely at CUMC was 40%, occurring at a mean interval of 41 months. A subset of patients (32%) had 2 or more recurrences. Histopathology at the first surgery was WHO grade I (87%) and II (13%) and at the final surgery was WHO grade I (74%), II (21%), and III (4%). A subset of grade I tumors that received radiotherapy (35%) evolved to a higher grade or developed multiple recurrences without a change in histologic grade I. Grade II tumors and treatment with radiotherapy increased the odds of recurrence. Removal of the ACP and gross total resection decreased the odds of recurrence.Conclusion: Due to the routinely long interval to tumor recurrence, lifelong surveillance of patients with SOM is prudent. ACP resection and gross total resection, where possible, reduce tumor recurrence and the need for further treatment. Radiotherapy should be reserved for higher-grade meningiomas and select grade I tumors.

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Section: Discussionmentioning

confidence: 86%

Spheno-Orbital Meningioma - Treatment Outcomes and Factors Influencing Recurrence

Tran

Maniar

Tooley

et al. 2023

Ophthalmic Plastic &Amp; Reconstructive Surgery

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“…Di Somma et alc). Ever since, several papers disclosing its anatomical targets and features, its variants also in regard of the skin incision, namely trans-eyelid or trans-eyebrow ( Matano et al, 2022 ; Kong et al; Zoia et al, 2018 ), and finally surgical series ( Dallan et al, 2018 ; Jeon et al, 2018 ; Kong et al; Corvino et al, 2022 )have been published.…”

Section: Discussionmentioning

confidence: 99%

Transorbital and supraorbital uniportal multicorridor approach to the orbit, anterior, middle and posterior cranial fossa: Anatomic study

Zoia,

Mastantuoni,

Solari

et al. 2024

Brain and Spine

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“…Traditional techniques, therefore, allow better exposure of the surgical field and could guarantee a greater probability of complete resection of the lesion in many cases ( Corvino et al, 2022 ), but they are related to a higher variety and frequency of complications. Furthermore, endoscopic approaches have a significant advantage in case of difficult target site with the avoidance of an osteomtomy otherwise necessary with an open approach.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic approaches to the orbit: Transnasal and transorbital, a retrospective case series

Zoia,

Maiorano,

Borromeo

et al. 2024

Brain and Spine

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Functional and clinical outcomes after superior eyelid transorbital endoscopic approach for spheno-orbital meningiomas: illustrative case and literature review

Cited by 28 publications

References 39 publications

Spheno-Orbital Meningioma - Treatment Outcomes and Factors Influencing Recurrence

Spheno-Orbital Meningioma - Treatment Outcomes and Factors Influencing Recurrence

Transorbital and supraorbital uniportal multicorridor approach to the orbit, anterior, middle and posterior cranial fossa: Anatomic study

Endoscopic approaches to the orbit: Transnasal and transorbital, a retrospective case series

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