Early Experience with the Endoscopic Transorbital Approach in a Provincial Tertiary Hospital

Objective: Endoscopic transorbital approach (ETOA) has been increasingly employed in the management of anterior skull base lesions. The objective of this study was to share our clinical experience with this minimally invasive approach.

Methods: Between 2019 and 2021, a total of 8 patients underwent the ETOA for various intracranial lesions. The ETOA was performed via an eyebrow or eyelid incision. This cohort study comprised 5 male and 3 female patients. The median age was 57.7 years (range, 24–75). The lesions treated with this approach comprised 4 brain metastases, 3 benign orbital tumors, and 1 intracranial meningioma.

Results: Gross total removal was performed in 2 of the 8 patients, subtotal tumor removal in 3 patients and partial removal or biopsy in 3 patients. Most of patients were operated with favorable postoperative and cosmetic outcomes. Postoperative complication occurred in 1 patient.

Conclusion: In our experience, ETOA appears to be a safe and effective treatment modality for neurosurgical lesions in the anterior skull base and the orbit. This approach provides minimally invasive access to the anterior cranial fossa and orbit. In addition, the eyebrow or eyelid skin incision and careful soft tissue dissection result in a satisfactory cosmetic result.

Publikationsverlauf

Artikel online veröffentlicht:
01. Februar 2023