Ravi Sankar Manogaran, Abhishek Shukla, Kalyana Sundaram Chithambaram, Anant Mehrotra, Nidhin Das K, Sushila Jaiswal, Awadhesh Kumar Jaiswal
{"title":"Minimally invasive mastery: transorbital endoscopic excision of the paramedian epidermoid.","authors":"Ravi Sankar Manogaran, Abhishek Shukla, Kalyana Sundaram Chithambaram, Anant Mehrotra, Nidhin Das K, Sushila Jaiswal, Awadhesh Kumar Jaiswal","doi":"10.3171/2025.1.FOCVID24188","DOIUrl":null,"url":null,"abstract":"<p><p>Endoscopic minimally invasive skull base surgery using the transorbital neuroendoscopic technique for cavernous sinus epidermoid serves as a pivotal link to open transcranial surgeries. This method involves a minimally invasive transorbital approach, including lateral orbitotomy and drilling the greater sphenoid wing, followed by cutting the orbitomeningeal band, peeling the dura mater, and exposing the tumor. This approach is technically demanding and requires thorough knowledge of anatomy and familiarity with endoscopic instruments. The favorable clinical, cosmetic, and radiological outcomes underscore the effectiveness of this technique, highlighting the role of endoscopy in minimally invasive skull base paramedian pathologies. The video can be found here: https://stream.cadmore.media/r10.3171/2025.1.FOCVID24188.</p>","PeriodicalId":74299,"journal":{"name":"Neurosurgical focus: Video","volume":"12 2","pages":"V10"},"PeriodicalIF":0.0000,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12068080/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Neurosurgical focus: Video","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.3171/2025.1.FOCVID24188","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
Endoscopic minimally invasive skull base surgery using the transorbital neuroendoscopic technique for cavernous sinus epidermoid serves as a pivotal link to open transcranial surgeries. This method involves a minimally invasive transorbital approach, including lateral orbitotomy and drilling the greater sphenoid wing, followed by cutting the orbitomeningeal band, peeling the dura mater, and exposing the tumor. This approach is technically demanding and requires thorough knowledge of anatomy and familiarity with endoscopic instruments. The favorable clinical, cosmetic, and radiological outcomes underscore the effectiveness of this technique, highlighting the role of endoscopy in minimally invasive skull base paramedian pathologies. The video can be found here: https://stream.cadmore.media/r10.3171/2025.1.FOCVID24188.