{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T19:00:47Z","timestamp":1788548447392,"version":"build-2803163510"},"reference-count":12,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":["Operative Surg.","ONSURG"],"published-print":{"date-parts":[[2018,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>BACKGROUND<\/jats:title>\n                    <jats:p>Feasibility and safety of spheno-orbital meningioma resection by means of endoscopic-assisted transorbital route.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>OBJECTIVE<\/jats:title>\n                    <jats:p>To evaluate the feasibility and outcomes of the transorbital endoscopic management of selected spheno-orbital meningiomas. As secondary aims, symptom improvement and tumor volume removed were evaluated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>Retrospective chart evaluation of patients with spheno-orbital meningiomas treated by means of endoscopic transorbital superior eyelid approach in 3 referral centers over the last 4 yr.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>Fourteen cases were included in this study. In 4 patients, the transorbital endoscopic approach was combined with an endonasal route. Mean age was 51 and male-to-female ratio was 1:6. In 8 patients (57.1%), an intraorbital involvement was observed, 3 of them (21.4%) showed significant intraconal disease. No patient presented significant cavernous sinus infiltration. Main presenting symptoms were proptosis, diplopia, and visual impairment in 14, 6, and 6 patients, respectively. Mean proptosis improvement was 2 mm (standard deviation 2.3). We observed no major postoperative complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION<\/jats:title>\n                    <jats:p>Our preliminary clinical experience seems to demonstrate that selected spheno-orbital meningiomas can be safely managed by means of an endoscopic transorbital route through a superior eyelid approach. Patients with orbital or cavernous sinus infiltration are at highest risk of persistence.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ons\/opx100","type":"journal-article","created":{"date-parts":[[2017,5,12]],"date-time":"2017-05-12T06:39:20Z","timestamp":1494571160000},"page":"243-251","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":89,"title":["Endoscopic Transorbital Superior Eyelid Approach for the Management of Selected Spheno-orbital Meningiomas: Preliminary Experience"],"prefix":"10.1227","volume":"14","author":[{"given":"Iacopo","family":"Dallan","sequence":"first","affiliation":[{"name":"First ENT Unit, Azienda Ospedaliero-Universitaria Pisana, Pisa, Italy"},{"name":"Head and Neck Surgery and Forensic Dissection Research center (HNS and FDRc), Department of Biotechnology and Life Sciences, University of Insubria, Varese, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefano","family":"Sellari-Franceschini","sequence":"additional","affiliation":[{"name":"First ENT Unit, Azienda Ospedaliero-Universitaria Pisana, Pisa, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mario","family":"Turri-Zanoni","sequence":"additional","affiliation":[{"name":"Head and Neck Surgery and Forensic Dissection Research center (HNS and FDRc), Department of Biotechnology and Life Sciences, University of Insubria, Varese, Italy"},{"name":"Division of Otorhinolaryngology, Department of Biotechnology and Life Sciences, University of Insubria, Ospedale di Circolo e Fondazione Macchi, Varese, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matteo","family":"de Notaris","sequence":"additional","affiliation":[{"name":"Division of Neurosurgery, Azienda Ospedaliera G. Rummo, Benevento, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giacomo","family":"Fiacchini","sequence":"additional","affiliation":[{"name":"First ENT Unit, Azienda Ospedaliero-Universitaria Pisana, Pisa, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesca Romana","family":"Fiorini","sequence":"additional","affiliation":[{"name":"First ENT Unit, Azienda Ospedaliero-Universitaria Pisana, Pisa, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paolo","family":"Battaglia","sequence":"additional","affiliation":[{"name":"Head and Neck Surgery and Forensic Dissection Research center (HNS and FDRc), Department of Biotechnology and Life Sciences, University of Insubria, Varese, Italy"},{"name":"Division of Otorhinolaryngology, Department of Biotechnology and Life Sciences, University of Insubria, Ospedale di Circolo e Fondazione Macchi, Varese, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Davide","family":"Locatelli","sequence":"additional","affiliation":[{"name":"Division of Neurosurgery, Department of Biotechnology and Life Sciences, University of Insubria, Ospedale di Circolo e Fondazione Macchi, Varese, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paolo","family":"Castelnuovo","sequence":"additional","affiliation":[{"name":"Head and Neck Surgery and Forensic Dissection Research center (HNS and FDRc), Department of Biotechnology and Life Sciences, University of Insubria, Varese, Italy"},{"name":"Division of Otorhinolaryngology, Department of Biotechnology and Life Sciences, University of Insubria, Ospedale di Circolo e Fondazione Macchi, Varese, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2018,3]]},"reference":[{"key":"bib1-20240910","doi-asserted-by":"crossref","first-page":"84","DOI":"10.3109\/02688697.2012.709557","article-title":"Management of spheno-orbital en plaque meningiomas: clinical outcome in a consecutive series of 40 patients","volume":"27","author":"Boari","year":"2013","journal-title":"Br J Neurosurg"},{"key":"bib2-20240910","first-page":"214","article-title":"Microsurgical technique and results of a series of 63 spheno-orbital meningiomas","volume":"60","author":"Ringel","year":"2007","journal-title":"Neurosurgery"},{"key":"bib3-20240910","doi-asserted-by":"crossref","first-page":"491","DOI":"10.3171\/jns.2005.103.3.0491","article-title":"Sphenoorbital meningiomas: surgical limitations and lessons learned in their long-term management","volume":"103","author":"Shrivastava","year":"2005","journal-title":"J Neurosurg"},{"key":"bib4-20240910","doi-asserted-by":"crossref","first-page":"208","DOI":"10.3171\/jns.2006.104.2.208","article-title":"Management of meningiomas en plaque of the sphenoid wing","volume":"104","author":"Schick","year":"2006","journal-title":"J Neurosurg"},{"key":"bib5-20240910","doi-asserted-by":"crossref","first-page":"97","DOI":"10.1016\/j.wneu.2015.02.034","article-title":"Multiportal combined transorbital transnasal endoscopic approach for the management of selected skull base lesions: preliminary experience","volume":"84","author":"Dallan","year":"2015","journal-title":"World Neurosurg"},{"key":"bib6-20240910","doi-asserted-by":"crossref","first-page":"799","DOI":"10.3171\/2015.1.JNS141113","article-title":"Comparison of endoscope- versus microscope-assisted resection of deep-seated intracranial lesions using a minimally invasive port retractor system","volume":"124","author":"Hong","year":"2016","journal-title":"J Neurosurg"},{"key":"bib7-20240910","doi-asserted-by":"crossref","first-page":"343","DOI":"10.3109\/01676830.2014.904374","article-title":"Transorbital approach without craniotomy to orbital tumors with extradural intracranial extension","volume":"33","author":"Lew","year":"2014","journal-title":"Orbit"},{"issue":"6","key":"bib8-20240910","doi-asserted-by":"crossref","first-page":"79","DOI":"10.4103\/2152-7806.157074","article-title":"Lateral orbitotomy approach for removing hyperostosing en plaque sphenoid wing meningiomas. 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