Transorbital neuroendoscopic surgery for treatment of sphenoid wing meningiomas extending to the cavernous sinus: clinical implications and a technical illustration

CONCLUSIONS: Total resection of SWMs invading the cavernous sinus and orbit is associated with substantial risks, particularly cranial nerve deficits. TONES offers a minimally invasive alternative, reducing morbidity compared with transcranial approaches, and represents a significant advancement in the surgical management of SWMs, especially those extending into the cavernous sinus and orbit. The approach provides a safe, effective, and patient-centric approach, prioritizing subtotal resection to minimize neurological deficits while preparing patients for adjunctive radiosurgery. This study positions TONES as a transformative surgical technique, aligning therapeutic efficacy with neurovascular preservation and postoperative recovery.PMID:38560930 | DOI:10.3171/2024.1.FOCUS23857

Source: Neurosurgical Focus - April 1, 2024 Category: Neurosurgery Authors: Gardashkhan Kar ımzada Demet Evleksiz Kar ımzada G ökberk Erol Beste G ülsuna Pelin Kuzucu Abuzer G üngör Ahmet Murat Kutlay Muammer Melih Şahin Emrah Çeltikçi Source Type: research