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Endoscopic transorbital approach to posterior fossa recurrent craniopharyngioma. 内镜下经眶入路治疗后窝复发性颅咽管瘤。
Neurosurgical focus: Video Pub Date : 2025-04-01 DOI: 10.3171/2025.1.FOCVID24177
Francesco Paglia, Ben Chat-Fong Ng, Xin-Liang Xu, Lorenzo Sgarbanti, Francesco Corrivetti, Matteo de Notaris, Hunter Kwok-Lai Yuen, Calvin Hoi-Kwan Mak
{"title":"Endoscopic transorbital approach to posterior fossa recurrent craniopharyngioma.","authors":"Francesco Paglia, Ben Chat-Fong Ng, Xin-Liang Xu, Lorenzo Sgarbanti, Francesco Corrivetti, Matteo de Notaris, Hunter Kwok-Lai Yuen, Calvin Hoi-Kwan Mak","doi":"10.3171/2025.1.FOCVID24177","DOIUrl":"10.3171/2025.1.FOCVID24177","url":null,"abstract":"<p><p>Recurrent craniopharyngiomas represent a complex neurosurgical challenge. These histologically benign lesions show aggressive behavior that frequently recurs. The aim in treatment is to achieve an optimal balance between local control and quality of life. However, no agreement on the management of recurrent cases exists. Different surgical strategies are utilized for the management of these lesions using transcranial or endoscopic approaches. The authors present the case of a 38-year-old man with a large recurrent craniopharyngioma, previously treated with several endonasal interventions, responsible for headaches and unsteady gait. The recurrent cystic portion of the tumor, invading the pons, was treated using an endoscopic transorbital approach. The video can be found here: https://stream.cadmore.media/r10.3171/2025.1.FOCVID24177.</p>","PeriodicalId":74299,"journal":{"name":"Neurosurgical focus: Video","volume":"12 2","pages":"V3"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12070329/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144030739","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Triportal approach: endoscopic transorbital, transnasal and robotic transoral excision of parapharyngeal liposarcoma. 三门静脉入路：内镜下经眶、经鼻及机器人经口咽旁脂肪肉瘤切除术。
Neurosurgical focus: Video Pub Date : 2025-04-01 DOI: 10.3171/2025.1.FOCVID24167
Ben Chat Fong Ng, Wai-Yin William Chung, Tsz-Wai Lee, Wai-Shun Ng, Tsun-Cheong Chu, Hunter Kwok-Lai Yuen, Calvin Hoi-Kwan Mak
{"title":"Triportal approach: endoscopic transorbital, transnasal and robotic transoral excision of parapharyngeal liposarcoma.","authors":"Ben Chat Fong Ng, Wai-Yin William Chung, Tsz-Wai Lee, Wai-Shun Ng, Tsun-Cheong Chu, Hunter Kwok-Lai Yuen, Calvin Hoi-Kwan Mak","doi":"10.3171/2025.1.FOCVID24167","DOIUrl":"10.3171/2025.1.FOCVID24167","url":null,"abstract":"<p><p>A parapharyngeal space (PPS) tumor is a rare head and neck tumor. The choice of approach depends on the location, pathology, extent of invasion, and relationship with surrounding neurovascular structures. In this video, a PPS tumor was resected using a triportal approach: endoscopic transorbital, robotic transoral, and endoscopic transnasal surgery. Neurosurgeons, otorhinolaryngologists, and ophthalmologists jointly performed the operation. The pathology was a liposarcoma in the right upper parapharyngeal space, abutting the internal carotid artery. Postoperative endoscopy, MRI, and PET-CT showed no recurrence. The triportal approach is a novel technique in improving the exposure and multiangular dissection of PPS tumors with optimal protection to surrounding neurovascular structures. The video can be found here: https://stream.cadmore.media/r10.3171/2025.1.FOCVID24167.</p>","PeriodicalId":74299,"journal":{"name":"Neurosurgical focus: Video","volume":"12 2","pages":"V17"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12068078/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144044064","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Endoscopic transorbital approach for repair of spontaneous CSF leak and frontal sinus encephalocele. 内窥镜经眶入路修复自发性脑脊液漏及额窦性脑膨出。
Neurosurgical focus: Video Pub Date : 2025-04-01 DOI: 10.3171/2025.1.FOCVID24153
Iñigo L Sistiaga, Gregorio Catalán-Uribarrena, Francisco Valcárcel, Yuly Garcia-Orozco, Javier Altamirano-Cruz, Mikel Oñate, Iñigo Pomposo
{"title":"Endoscopic transorbital approach for repair of spontaneous CSF leak and frontal sinus encephalocele.","authors":"Iñigo L Sistiaga, Gregorio Catalán-Uribarrena, Francisco Valcárcel, Yuly Garcia-Orozco, Javier Altamirano-Cruz, Mikel Oñate, Iñigo Pomposo","doi":"10.3171/2025.1.FOCVID24153","DOIUrl":"10.3171/2025.1.FOCVID24153","url":null,"abstract":"<p><p>CSF leaks due to anterior skull base defects, particularly those involving the posterior wall of the frontal sinus, are complex and often require surgical intervention. The endoscopic transorbital approach provides a direct, minimally invasive method with enhanced access and improved working angles. The authors present a video of a 41-year-old female with a spontaneous CSF leak and frontal sinus encephalocele who underwent endoscopic transorbital repair. This approach effectively controlled the defect, resulting in the resolution of the CSF leak with no recurrence at 1-year follow-up. The endoscopic transorbital approach is a reliable surgical option for these challenging cases. The video can be found here: https://stream.cadmore.media/r10.3171/2025.1.FOCVID24153.</p>","PeriodicalId":74299,"journal":{"name":"Neurosurgical focus: Video","volume":"12 2","pages":"V9"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12068072/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144060143","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Endoscopic transorbital removal of a temporomesial cavernous hemangioma. 内窥镜下经眶切除颞骨海绵状血管瘤。
Neurosurgical focus: Video Pub Date : 2025-04-01 DOI: 10.3171/2025.1.FOCVID24183
Cesare Zoia, Vittorio Ricciuti, Andrea Montalbetti, Giorgia Piras, Roada Bucpapaj, Elisabetta Peppucci
{"title":"Endoscopic transorbital removal of a temporomesial cavernous hemangioma.","authors":"Cesare Zoia, Vittorio Ricciuti, Andrea Montalbetti, Giorgia Piras, Roada Bucpapaj, Elisabetta Peppucci","doi":"10.3171/2025.1.FOCVID24183","DOIUrl":"10.3171/2025.1.FOCVID24183","url":null,"abstract":"<p><p>In recent years, endoscopic transorbital approaches have found wider applications and more indications. Their use has been described for resection of epileptogenic pathology in the adult population and for lesions located at the temporal lobe. In this video, the authors describe the case of a 47-year-old woman with a 9-month history of episodes of confusion, altered spatiotemporal awareness, and dizziness, only partially responding to antiepileptic drugs. MRI showed a temporomesial cavernous hemangioma. Endoscopic transorbital resection through a modified superior eyelid approach is shown. Radical resection was obtained without any postoperative complications, and an optimal cosmetic outcome was achieved. The video can be found here: https://stream.cadmore.media/r10.3171/2025.1.FOCVID24183.</p>","PeriodicalId":74299,"journal":{"name":"Neurosurgical focus: Video","volume":"12 2","pages":"V15"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12070379/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144058749","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Extended endoscopic transorbital approach for mesial temporal lobe glioma. 经眶内扩展内镜入路治疗颞叶内侧胶质瘤。
Neurosurgical focus: Video Pub Date : 2025-04-01 DOI: 10.3171/2025.1.FOCVID24189
Chiman Jeon, Chang-Ki Hong
{"title":"Extended endoscopic transorbital approach for mesial temporal lobe glioma.","authors":"Chiman Jeon, Chang-Ki Hong","doi":"10.3171/2025.1.FOCVID24189","DOIUrl":"10.3171/2025.1.FOCVID24189","url":null,"abstract":"<p><p>The endoscopic transorbital approach (ETOA) is a minimally invasive technique that provides direct access to the mesial temporal lobe while avoiding brain retraction, preserving the lateral temporal neocortex, and minimizing the risk of damage to the optic radiations. In this video, the authors demonstrate an extended ETOA with lateral orbitotomy for the resection of a mesial temporal lobe glioma, emphasizing its utility along the long axis of the amygdala-hippocampal complex. This video is intended to serve as a practical guide for accessing the mesial temporal lobe through the extended transorbital corridor. The video can be found here: https://stream.cadmore.media/r10.3171/2025.1.FOCVID24189.</p>","PeriodicalId":74299,"journal":{"name":"Neurosurgical focus: Video","volume":"12 2","pages":"V14"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12068079/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144052740","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Transorbital eyebrow lacrimal keyhole approach for resection of a meningioma of the lateral wall of the cavernous sinus. 经眶眉泪锁孔入路切除海绵窦外侧壁脑膜瘤。
Neurosurgical focus: Video Pub Date : 2025-04-01 DOI: 10.3171/2025.1.FOCVID24190
Arianna Fava, Tingting Jiang, Trung Hai Vu, Rosaria Abbritti, Sébastien Froelich
{"title":"Transorbital eyebrow lacrimal keyhole approach for resection of a meningioma of the lateral wall of the cavernous sinus.","authors":"Arianna Fava, Tingting Jiang, Trung Hai Vu, Rosaria Abbritti, Sébastien Froelich","doi":"10.3171/2025.1.FOCVID24190","DOIUrl":"10.3171/2025.1.FOCVID24190","url":null,"abstract":"<p><p>The transorbital approach has emerged as a minimally invasive technique in neurosurgery. The authors present the case of a meningioma of the lateral wall of the cavernous sinus treated with a transorbital eyebrow lacrimal keyhole approach (TELKA) in a 64-year-old man with partial seizures. By removing the lip of the superolateral orbital rim, the so-called lacrimal keyhole, via an eyebrow incision, optimal microscopic and endoscopic visualization and maneuverability were achieved, avoiding dangerous ocular globe retraction. Together with the chopstick technique using angled endoscopes and malleable rotative suction, TELKA allowed a safe and effective resection minimizing soft tissue dissection, brain manipulation, and ocular retraction. The video can be found here: https://stream.cadmore.media/r10.3171/2025.1.FOCVID24190.</p>","PeriodicalId":74299,"journal":{"name":"Neurosurgical focus: Video","volume":"12 2","pages":"V7"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12068075/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059481","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Endoscopic lateral transorbital approach for resection of a middle fossa meningioma. 内镜下经眶外侧入路切除中窝脑膜瘤。
Neurosurgical focus: Video Pub Date : 2025-04-01 DOI: 10.3171/2025.1.FOCVID24176
Juan L Gómez-Amador, Rodolfo Villalobos-Díaz, Michel G Mondragón-Soto, Ricardo Marian-Magaña, Jorge F Aragón-Arreola, Luis A Rodriguez-Hernandez
{"title":"Endoscopic lateral transorbital approach for resection of a middle fossa meningioma.","authors":"Juan L Gómez-Amador, Rodolfo Villalobos-Díaz, Michel G Mondragón-Soto, Ricardo Marian-Magaña, Jorge F Aragón-Arreola, Luis A Rodriguez-Hernandez","doi":"10.3171/2025.1.FOCVID24176","DOIUrl":"10.3171/2025.1.FOCVID24176","url":null,"abstract":"<p><p>The lateral transorbital approach (LTOA) is useful for lesions situated in the middle fossa, adjacent to the lateral wall of the cavernous sinus, as it minimizes brain retraction and provides an extradural corridor. In this video, the authors present the case of a 35-year-old male, complaining of headache and diplopia. MRI revealed a dural-based middle fossa lesion adjacent to the lateral wall of the cavernous sinus. An endoscopic LTOA was performed through a superior eyelid incision. Postoperative MRI showed minimal residual enhancement, and histopathological analysis reported a grade III anaplastic meningioma. The patient was discharged after 48 hours without a new neurological deficit. The video can be found here: https://stream.cadmore.media/r10.3171/2025.1.FOCVID24176.</p>","PeriodicalId":74299,"journal":{"name":"Neurosurgical focus: Video","volume":"12 2","pages":"V4"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12068076/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144061690","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Transorbital approach for a Meckel's cave hybrid benign tumor: operative video and technical nuances. 经眶入路治疗梅克尔氏穴混合型良性肿瘤：手术影像和技术上的细微差别。
Neurosurgical focus: Video Pub Date : 2025-04-01 DOI: 10.3171/2025.1.FOCVID24164
Alberto Di Somma, Alejandra Mosteiro, Lorena Gomez, Óscar Felguera, Joaquim Enseñat
{"title":"Transorbital approach for a Meckel's cave hybrid benign tumor: operative video and technical nuances.","authors":"Alberto Di Somma, Alejandra Mosteiro, Lorena Gomez, Óscar Felguera, Joaquim Enseñat","doi":"10.3171/2025.1.FOCVID24164","DOIUrl":"10.3171/2025.1.FOCVID24164","url":null,"abstract":"<p><p>This video presents the transorbital endoscopic resection of a Meckel's cave lesion, initially suspected as a trigeminal schwannoma. A 35-year-old woman with trigeminal hypoesthesia, pain, and gait instability underwent near-total tumor removal, with a transient cranial nerve III deficit that resolved completely. Histopathology identified the tumor as a hybrid benign lesion (trigeminal schwannoma/neurofibroma, WHO grade I). This minimally invasive technique offers effective tumor resection while preserving neurological function, making it a valuable option for select patients. Postoperative follow-up was recommended for ongoing assessment and care. The video can be found here: https://stream.cadmore.media/r10.3171/2025.1.FOCVID24164.</p>","PeriodicalId":74299,"journal":{"name":"Neurosurgical focus: Video","volume":"12 2","pages":"V2"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12068082/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144061696","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Transorbital endoscopic approach for repair of a lateral sphenoid sinus cerebrospinal fluid leak. 经眶内窥镜入路修复外侧蝶窦脑脊液漏。
Neurosurgical focus: Video Pub Date : 2025-04-01 DOI: 10.3171/2025.1.FOCVID24207
Nader Delavari, Jesse D Lawrence, Jonathan Tangsrivimol, Mattia Testa, Kyle J Godfrey, Theodore H Schwartz
{"title":"Transorbital endoscopic approach for repair of a lateral sphenoid sinus cerebrospinal fluid leak.","authors":"Nader Delavari, Jesse D Lawrence, Jonathan Tangsrivimol, Mattia Testa, Kyle J Godfrey, Theodore H Schwartz","doi":"10.3171/2025.1.FOCVID24207","DOIUrl":"10.3171/2025.1.FOCVID24207","url":null,"abstract":"<p><p>The transorbital craniotomy represents a minimally invasive approach to the mesial structures of the middle fossa. This video depicts the approach to the lateral sphenoid recess in a patient with CSF rhinorrhea secondary to a lateral sphenoid encephalocele. The transorbital approach represents a unique advantage to repairing the lateral sphenoid sinus in comparison to the endoscopic endonasal approach, which requires traversing, and often transecting, the vidian nerve. Following identification of the skull base defect, repair is performed as an underlay with an abdominal fat graft. Following surgery, the patient had no recurrent rhinorrhea. The video can be found here: https://stream.cadmore.media/r10.3171/2025.1.FOCVID24207.</p>","PeriodicalId":74299,"journal":{"name":"Neurosurgical focus: Video","volume":"12 2","pages":"V8"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12068084/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144030784","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Transorbital neuroendoscopic approach for recurrent sinonasal inverted papilloma. 经眶神经内镜入路治疗复发性鼻窦内翻性乳头状瘤。
Neurosurgical focus: Video Pub Date : 2025-04-01 DOI: 10.3171/2025.1.FOCVID24201
Jason R Crossley, Hussam Abou-Al-Shaar, S Tonya Stefko, Paul A Gardner, Garret Choby
{"title":"Transorbital neuroendoscopic approach for recurrent sinonasal inverted papilloma.","authors":"Jason R Crossley, Hussam Abou-Al-Shaar, S Tonya Stefko, Paul A Gardner, Garret Choby","doi":"10.3171/2025.1.FOCVID24201","DOIUrl":"10.3171/2025.1.FOCVID24201","url":null,"abstract":"<p><p>This surgical video demonstrates the case of a 38-year-old male with recurrent inverted papilloma involving the lamina papyracea and frontal sinus outflow tract. The frontal sinus was diminutive on the side of the tumor, and as such a combined endoscopic endonasal with endoscopic transorbital via transcaruncular route was advised for resection of the anterolateral tumor and contralateral margin. After endonasal resection, a transorbital approach was utilized to traverse the lamina papyracea from lateral to medial and resect tumor along the ethmoid roof and posterior table of the frontal sinus. The video can be found here: https://stream.cadmore.media/r10.3171/2025.1.FOCVID24201.</p>","PeriodicalId":74299,"journal":{"name":"Neurosurgical focus: Video","volume":"12 2","pages":"V18"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12068071/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144061774","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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