{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T00:24:12Z","timestamp":1783988652145,"version":"3.55.0"},"reference-count":9,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,1,22]],"date-time":"2021-01-22T00:00:00Z","timestamp":1611273600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2021,1,22]],"date-time":"2021-01-22T00:00:00Z","timestamp":1611273600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Med Case Reports"],"published-print":{"date-parts":[[2021,12]]},"abstract":"Abstract<\/jats:title>\n Background<\/jats:title>\n Cholesteatomas are benign tumors mainly composed of cholesterol crystals that rarely arise within the orbit. However, orbital cholesteatomas require a complete surgical resection due to their recidivating potential. Transcranial approaches offering a broad surgical exposure of the orbital cavity have been scarcely used for the management of these tumors. Here, we provide evidence of the benefits of the pterional craniotomy for the surgical resection of orbital tumors by sharing our experience in the surgical management of a cholesteatoma of the superotemporal orbital wall.<\/jats:p>\n <\/jats:sec>\n Case presentation<\/jats:title>\n A 45-year-old Hispanic man with a 2-year history of progressive proptosis of the left eye attended to our center complaining of diplopia and migraine. At his arrival, physical examination revealed ptosis, palpebral edema, and exophthalmos of the left eye, as well as the abolishment of the ipsilateral photomotor and consensual responses. Fundoscopy showed mild optic atrophy, whereas a T2-weighted magnetic resonance imaging (MRI) of the head showed a hyperintense mass arising at the superotemporal wall of the orbit that was displacing the eyeball. The tumor was resected using a pterional craniotomy without postoperative complications. The histopathological analysis of the tumor revealed a cholesteatoma. The patient recovered the functionality of the left eye with no visual sensitive deficits nor tumor recurrence 1\u00a0year after the surgery.<\/jats:p>\n <\/jats:sec>\n Conclusions<\/jats:title>\n Our results support the use of the pterional craniotomy as a safe procedure for the surgical resection of cholesteatomas arising at the superotemporal walls of the orbit, with low postoperative morbidity.<\/jats:p>\n <\/jats:sec>","DOI":"10.1186\/s13256-020-02579-3","type":"journal-article","created":{"date-parts":[[2021,1,22]],"date-time":"2021-01-22T00:06:35Z","timestamp":1611273995000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["The pterional approach for the surgical resection of an orbital cholesteatoma: a case report"],"prefix":"10.1186","volume":"15","author":[{"given":"Parm\u00e9nides","family":"Guadarrama-Ortiz","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jos\u00e9 Alberto","family":"Chore\u00f1o-Parra","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francisco Javier","family":"Pacheco-S\u00e1nchez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alberto Iv\u00e1n","family":"Rodr\u00edguez-Nava","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriela","family":"Garc\u00eda-Quintero","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patricia Emilia","family":"Rodr\u00edguez-Mu\u00f1oz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlos","family":"S\u00e1nchez-Garibay","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manuel","family":"\u00c1ngeles-Castellanos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2021,1,22]]},"reference":[{"key":"2579_CR1","doi-asserted-by":"publisher","first-page":"1288","DOI":"10.1016\/S0161-6420(03)00706-1","volume":"110","author":"C De Conciliis","year":"2003","unstructured":"De Conciliis C. Epidemiology of orbital disease. Ophthalmology. 2003;110:1288 (author reply 1288-1289).","journal-title":"Ophthalmology"},{"key":"2579_CR2","doi-asserted-by":"publisher","first-page":"79","DOI":"10.1097\/IOP.0b013e31827a7622","volume":"29","author":"G Bonavolonta","year":"2013","unstructured":"Bonavolonta G, Strianese D, Grassi P, Comune C, Tranfa F, Uccello G, Iuliano A. An analysis of 2,480 space-occupying lesions of the orbit from 1976 to 2011. Ophthalmic Plast Reconstr Surg. 2013;29:79\u201386.","journal-title":"Ophthalmic Plast Reconstr Surg"},{"key":"2579_CR3","doi-asserted-by":"publisher","first-page":"612","DOI":"10.1001\/archopht.1982.01030030614015","volume":"100","author":"DW Parke 2nd","year":"1982","unstructured":"Parke DW 2nd, Font RL, Boniuk M, McCrary JA 3rd. \u201cCholesteatoma\u201d of the orbit. Arch Ophthalmol. 1982;100:612\u20136.","journal-title":"Arch Ophthalmol"},{"key":"2579_CR4","doi-asserted-by":"publisher","first-page":"415","DOI":"10.1097\/IOP.0b013e318137a6fe","volume":"23","author":"DR Jordan","year":"2007","unstructured":"Jordan DR, Spitellie P, Brownstein S, Rawlings N, Gilberg SM. Orbital cholesterol granuloma and cholesteatoma: significance of differentiating the two. Ophthalmic Plast Reconstr Surg. 2007;23:415\u20137.","journal-title":"Ophthalmic Plast Reconstr Surg"},{"key":"2579_CR5","doi-asserted-by":"publisher","first-page":"1094","DOI":"10.4103\/neuroindia.NI_726_17","volume":"65","author":"SB Pai","year":"2017","unstructured":"Pai SB, Nagarjun MN. A neurosurgical perspective to approaches to the orbit: a cadaveric study. Neurol India. 2017;65:1094\u2013101.","journal-title":"Neurol India"},{"key":"2579_CR6","first-page":"83","volume":"6","author":"MG Yasargil","year":"1976","unstructured":"Yasargil MG, Antic J, Laciga R, Jain KK, Hodosh RM, Smith RD. Microsurgical pterional approach to aneurysms of the basilar bifurcation. Surg Neurol. 1976;6:83\u201391.","journal-title":"Surg Neurol"},{"key":"2579_CR7","doi-asserted-by":"publisher","first-page":"60","DOI":"10.1053\/otns.2001.25567","volume":"4","author":"HT Wen","year":"2001","unstructured":"Wen HT, Oliveira ED, Tedeschi H, Andrade FC, Rhoton AL. The pterional approach: surgical anatomy, operative technique, and rationale. Oper Tech Neurosurg. 2001;4:60\u201372.","journal-title":"Oper Tech Neurosurg"},{"key":"2579_CR8","doi-asserted-by":"publisher","first-page":"72","DOI":"10.1055\/s-2008-1058973","volume":"4","author":"JM Gilsbach","year":"1994","unstructured":"Gilsbach JM, Mann WJ, Rochels R, Amedee RG, Lieb W, Laborde G. Pterional\/Lateral approach to orbital tumors. Skull Base Surg. 1994;4:72\u20135.","journal-title":"Skull Base Surg"},{"key":"2579_CR9","doi-asserted-by":"publisher","first-page":"355","DOI":"10.1016\/j.wneu.2015.11.095","volume":"87","author":"JD Hughes","year":"2016","unstructured":"Hughes JD, Jacob JT, Garrity JA, Salomao DR, Link MJ. Orbitofrontal cholesterol granuloma: four case reports and a systematic review of the english literature. World Neurosurg. 2016;87:355\u201361.","journal-title":"World Neurosurg"}],"container-title":["Journal of Medical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/s13256-020-02579-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1186\/s13256-020-02579-3\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/s13256-020-02579-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,1,22]],"date-time":"2021-01-22T00:37:52Z","timestamp":1611275872000},"score":1,"resource":{"primary":{"URL":"https:\/\/jmedicalcasereports.biomedcentral.com\/articles\/10.1186\/s13256-020-02579-3"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,1,22]]},"references-count":9,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,12]]}},"alternative-id":["2579"],"URL":"https:\/\/doi.org\/10.1186\/s13256-020-02579-3","relation":{},"ISSN":["1752-1947"],"issn-type":[{"value":"1752-1947","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,1,22]]},"assertion":[{"value":"30 July 2020","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"5 November 2020","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"22 January 2021","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"Not applicable.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Written informed consent was obtained from the patient's legal for publication of this case report and any accompanying images. A copy of the written consent is available for review by the Editor-in-Chief of this journal.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"18"}}