Endoscopic transnasal orbital decompression for visual failure due to sphenoid wing meningioma

Lund, VJ; Rose, Geoffrey E.

doi:10.1038/sj.eye.6702385

Cited by 30 publications

(15 citation statements)

References 18 publications

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“…This approach is effective in patients with SOM in which the main symptom is disfiguring proptosis, without involving the risks of a craniotomy 21 22 25 26. Recently, Lund and Rose reported 12 patients with SOM who underwent endoscopic endonasal medial orbital wall decompression and decompression of the optic canal in 8 patients with opticopathy and visual deterioration 27. In these patients, the opticopathy improved and the visual acuity improved by one to four lines on the Snellen chart.…”

Section: Discussionmentioning

confidence: 99%

Surgical treatment of sphenoorbital meningiomas

Saeed

Furth

Tanck

et al. 2011

British Journal of Ophthalmology

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Surgical treatment of sphenoorbital meningiomasSaeed, P.; van Furth, W.R.; Tanck, M.; Freling, N.; van der Sprenkel, J.W.B.; Stalpers, L.J.A.; Overbeeke, J.J.; Mourits, M.P. General rightsIt is not permitted to download or to forward/distribute the text or part of it without the consent of the author(s) and/or copyright holder(s), other than for strictly personal, individual use, unless the work is under an open content license (like Creative Commons). Disclaimer/Complaints regulationsIf you believe that digital publication of certain material infringes any of your rights or (privacy) interests, please let the Library know, stating your reasons. In case of a legitimate complaint, the Library will make the material inaccessible and/or remove it from the website. Please Ask the Library: http://uba.uva.nl/en/contact, or a letter to: Library of the University of Amsterdam, Secretariat, Singel 425, 1012 WP Amsterdam, The Netherlands. You will be contacted as soon as possible.

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Section: Discussionmentioning

confidence: 99%

Surgical treatment of sphenoorbital meningiomas

Saeed

Furth

Tanck

et al. 2011

British Journal of Ophthalmology

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“…5,35,41,45 Pletcher and Metson described 10 decompressions in 7 patients with various underlying pathologies similar to those in our series, with a good visual outcome for 70% of the patients. 41 Studies dealing with idiopathic intracranial hypertension involve opening of the optic nerve sheath, raising the risk of CSF leakage.…”

Section: Indications For and Timing Of Surgerymentioning

confidence: 94%

“…While decompression in traumatic optic neuropathy has been widely investigated, 11,13,[18][19][20]24,28,29,36,37,40,47,48,[52][53][54][55][56][57][58][59]61 indeed with debatable results, decompression for nontraumatic optic neuropathies (NONs) is still insufficiently studied. 2,3,5,12,15,17,[21][22][23][25][26][27]33,35,36,39,41,42,45,46,51 We hypothesize that the minimally invasive endoscopic endonasal approach will be more widely used in decompressions for nontraumatic pathologies of the orbital apex. We present our preliminary series of 11 optic nerve decompressions performed for NONs.…”

mentioning

confidence: 99%

Endoscopic endonasal optic nerve and orbital apex decompression for nontraumatic optic neuropathy: surgical nuances and review of the literature

Berhouma

Jacquesson

Abouaf³

et al. 2014

FOC

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Object While several approaches have been described for optic nerve decompression, the endoscopic endonasal route is gaining favor because it provides excellent exposure of the optic canal and the orbital apex in a minimally invasive manner. Very few studies have detailed the experience with nontraumatic optic nerve decompressions, whereas traumatic cases have been widely documented. Herein, the authors describe their preliminary experience with endoscopic endonasal decompression for nontraumatic optic neuropathies (NONs) to determine the procedure’s efficacy and delineate its potential indications and limits. Methods The medical reports of patients who had undergone endoscopic endonasal optic nerve and orbital apex decompression for NONs at the Lyon University Neurosurgical Hospital in the period from January 2012 to March 2014 were reviewed. For all cases, clinical and imaging data on the underlying pathology and the patient, including demographics, preoperative and 6-month postoperative ophthalmological assessment results, symptom duration, operative details with video debriefing, as well as the immediate and delayed postoperative course, were collected from the medical records. Results Eleven patients underwent endoscopic endonasal decompression for NON in the multidisciplinary skull base surgery unit of the Lyon University Neurosurgical Hospital during the 27-month study period. The mean patient age was 53.4 years, and there was a clear female predominance (8 females and 3 males). Among the underlying pathologies were 4 sphenoorbital meningiomas (36%), 3 optic nerve meningiomas (27%), and 1 each of trigeminal neuroma (9%), orbital apex meningioma (9%), ossifying fibroma (9%), and inflammatory pseudotumor of the orbit (9%). Fifty-four percent of the patients had improved visual acuity at the 6-month follow-up. Only 1 patient whose sphenoorbital meningioma had been treated at the optic nerve atrophy stage continued to worsen despite surgical decompression. The 2 patients presenting with preoperative papilledema totally recovered. One case of postoperative epistaxis was successfully treated using balloon inflation, and 1 case of air swelling of the orbit spontaneously resolved. Conclusions Endoscopic endonasal optic nerve decompression is a safe, effective, and minimally invasive technique affording the restoration of visual function in patients with nontraumatic compressive processes of the orbital apex and optic nerve. The timing of decompression remains crucial, and patients should undergo such a procedure early in the disease course before optic atrophy.

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“…To date, evidence is limited to 1 systematic review and several retrospective case series. Evidence for nontraumatic ON is even more limited, with only small case series available, highlighting the need for evidence‐based recommendations regarding surgical management of this rare and challenging patient population.…”

Section: Optic Nerve and Orbitmentioning

confidence: 99%

ICAR: endoscopic skull‐base surgery

Wang

Zanation

Gardner

et al. 2019

Int Forum Allergy Rhinol

160

279

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Background Endoscopic skull‐base surgery (ESBS) is employed in the management of diverse skull‐base pathologies. Paralleling the increased utilization of ESBS, the literature in this field has expanded rapidly. However, the rarity of these diseases, the inherent challenges of surgical studies, and the continued learning curve in ESBS have resulted in significant variability in the quality of the literature. To consolidate and critically appraise the available literature, experts in skull‐base surgery have produced the International Consensus Statement on Endoscopic Skull‐Base Surgery (ICAR:ESBS). Methods Using previously described methodology, topics spanning the breadth of ESBS were identified and assigned a literature review, evidence‐based review or evidence‐based review with recommendations format. Subsequently, each topic was written and then reviewed by skull‐base surgeons in both neurosurgery and otolaryngology. Following this iterative review process, the ICAR:ESBS document was synthesized and reviewed by all authors for consensus. Results The ICAR:ESBS document addresses the role of ESBS in primary cerebrospinal fluid (CSF) rhinorrhea, intradural tumors, benign skull‐base and orbital pathology, sinonasal malignancies, and clival lesions. Additionally, specific challenges in ESBS including endoscopic reconstruction and complication management were evaluated. Conclusion A critical review of the literature in ESBS demonstrates at least the equivalency of ESBS with alternative approaches in pathologies such as CSF rhinorrhea and pituitary adenoma as well as improved reconstructive techniques in reducing CSF leaks. Evidence‐based recommendations are limited in other pathologies and these significant knowledge gaps call upon the skull‐base community to embrace these opportunities and collaboratively address these shortcomings.

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Endoscopic transnasal orbital decompression for visual failure due to sphenoid wing meningioma

Abstract: Aim To review a group of patients with sphenoid wing meningioma and visual impairment. The technique and results for endoscopic transnasal decompression of the orbital apex is presented.

Cited by 30 publications

References 18 publications

Surgical treatment of sphenoorbital meningiomas

Surgical treatment of sphenoorbital meningiomas

Endoscopic endonasal optic nerve and orbital apex decompression for nontraumatic optic neuropathy: surgical nuances and review of the literature

ICAR: endoscopic skull‐base surgery

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