Spheno-orbital meningiomas: outcome after microsurgical treatment: a clinical review of 30 cases

Honig, Susanne; Trantakis, C.; Frerich, Bernhard; Sterker, Ina; Schober, R.; Meixensberger, Jürgen

doi:10.1179/016164109x12464612122614

Cited by 49 publications

(40 citation statements)

References 39 publications

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“…Previous studies from Ringel et al [11] (25 %), Honig et al [16] (33 %) and Oya et al [17] (38 %) mostly reported values of approximately 30 %. We reported a significant difference between the external and internal varieties (61 % and 12 %, respectively; P < 0.001).…”

Section: Resection Ratementioning

confidence: 95%

Internal and external spheno-orbital meningioma varieties: different outcomes and prognoses

Leroy¹,

Leroy-Ciocanea²,

Baroncini³

et al. 2016

Acta Neurochir

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The internal SOM variety exhibited a reduced total resection rate and a shorter progression-free survival (PFS). Unroofing of the optic canal extended PFS. Among grade I cases, the persistence of a negligible tumour remnant did not alter the probability of recurrence. For superior grades, radiotherapy must be administered in addition to surgery as soon as possible. SOMs require prolonged follow-up. Autologous iliac reconstruction is related to substantial morbidity and could be replaced by prosthetic bone three-dimensional reconstruction.

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Section: Resection Ratementioning

confidence: 95%

Internal and external spheno-orbital meningioma varieties: different outcomes and prognoses

Leroy¹,

Leroy-Ciocanea²,

Baroncini³

et al. 2016

Acta Neurochir

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“…[28][29][30] In previous reports, improvement of vision was seen in 37% to 75% of the patients. [27][28][29][30][31] In our series, 8 (61.5%) of the 13 patients showing orbital involvement presented with visual impairment accompanied by exophthalmos. In 4 (50%) patients an improvement of vision was seen, in 3 (37.5%) no change was noted, whereas in 1 (12.5%) patient, vision deteriorated.…”

Section: Outcomementioning

confidence: 99%

The Extended Subfrontal and Fronto-Orbito-Zygomatic Approach in Skull Base Meningioma Surgery

Soleman

Leiggener²,

Schlaeppi³

et al. 2016

Journal of Craniofacial Surgery

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“…SOM was described for the first time by Cushing and Eisenhardt (6,7), and the first operative results were published by Dandy (8). Since the first description of these tumors, many papers were published in the literature (3,4,8,12,13). However, the surgical results were discouraging and conservative approach was proposed because of high rates of recurrence in SOM (12,22).…”

Section: Methodsmentioning

confidence: 99%

“…Intradural extension may be in various forms from a thin lesion to the large en-plaque meningiomas. Hyperostosis is commonly seen in whole skull base but especially involve the walls of superior orbital fissure (SOF) and optic canal (OC) (1,13,19). The d ifferential diagnosis includes osteoma, fibrous dysplasia and osteoblastic metastasis of the skull (20).…”

Section: Introductionmentioning

confidence: 99%

Surgical strategies for the removal of sphenoorbital meningiomas

Solmaz¹,

Tehli²,

Temız³

et al. 2014

Turkish Neurosurgery

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AIm: Surgical removal of sphenoorbital meningiomas is challenging for neurosurgeons. The aim of study is to share our experience on sphenoorbital meningiomas and to provide a picture of the current state of the art in surgical treatment of these tumors. mATERIAl and mEThods:The data of 13 cases of sphenoorbital meningioma who were operated between 2006 and 2013 was reviewed retrospectively. Intraorbital extension was present in 10 cases while sphenoid bone invasion was detected in 9 cases. All patients underwent surgical treatment after the radiological evaluation with magnetic resonance imaging and computed tomography. The degree of resection and the clinical outcome of all patients were analyzed. REsulTs:Extended pterional approach with a large frontotemporal craniotomy was performed in all cases. Simpson's grade I and II excision was achieved in 4 (31%) cases while subtotal excision (Simpson's grade III or higher) was performed in 9 cases. The main reason for subtotal excision was the cavernous sinus invasion. Optic canal decompression was performed in patients with intraorbital invasion. CoNClusIoN:Although total removal is the main objective of surgery, the sphenoorbital meningiomas are difficult to resect especially with cavernous sinus invasion. But in the meantime, it is not recommended to take any excessive risks to achieve a greater degree of resection for a benign tumor. Endoscopic approach is an option for inferomedial orbital parts of these tumors. KEywoRds: Sphenoorbital meningioma, Surgery, Strategy ÖZAmAÇ: Sfenoorbital menenjiyomların cerrahi yolla çıkartılması nöroşirürjiyenler için oldukça zorlu bir süreçtir. Çalışmanın amacı, sfenoorbital menenjiyomlar konusunda tecrübelerimizi paylaşmak ve bu tümörlerin cerrahi tedavisi konusunda güncel yaklaşımları ortaya koymaktır. yÖNTEm ve GEREÇlER: 2006-2013 yılları arasında opere edilen 13 adet sfenoorbital menenjiyom olgusunun verileri geriye dönük olarak incelendi. On olguda intraorbital yayılım ve 9 olguda sfenoid kemik invazyonu saptandı. Tüm hastalara bilgisayarlı tomografi ve manyetik rezonans görüntülemenin ardından cerrahi tedavi uygulandı. Hastalarda tümör rezeksiyon derecesi ve klinik sonuçlar analiz edildi.BulGulAR: Tüm olgulara geniş bir frontotemporal kraniyotomi ile genişletilmiş pterional yaklaşım uygulandı. Simpson derece I ve II eksizyon 4 (%31) olguda sağlanırken, subtotal eksizyon (Simpson derece III veya daha yüksek) 9 olguda sağlandı. Subtotal eksizyonun en önemli sebebi kavernöz sinüs invazyonu idi. Optik kanal dekompresyonu intraorbital invazyon olan olgularda uygulandı. soNuÇ: Sfenoorbital menenjiyomların cerrahi tedavisinde ana hedef her ne kadar total eksizyon olsa da özellikle kavernöz sinüs invazyonu olan olgularda bu hedefe ulaşmak zordur. Aynı zamanda iyi huylu bir tümör için daha fazla rezeksiyon amacıyla yüksek risk alınmasına gerek yoktur. Bu tümörlerin inferomedial orbital kısımlarının çıkartılmasında endoskopik yaklaşım da bir seçenektir.

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Spheno-orbital meningiomas: outcome after microsurgical treatment: a clinical review of 30 cases

Abstract: Sufficient tumor control can be achieved with minimal morbidity and satisfying functional results.

Cited by 49 publications

References 39 publications

Internal and external spheno-orbital meningioma varieties: different outcomes and prognoses

Internal and external spheno-orbital meningioma varieties: different outcomes and prognoses

The Extended Subfrontal and Fronto-Orbito-Zygomatic Approach in Skull Base Meningioma Surgery

Surgical strategies for the removal of sphenoorbital meningiomas

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