{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T08:13:13Z","timestamp":1788509593154,"version":"build-2803163510"},"reference-count":28,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec id=\"st1\">\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Resection of neoplasms of the cranio-orbital region represents a significant surgical challenge due to the extensive spread of the tumor into adjacent anatomical structures, deep regions of the skull base, the dense structure of the tumor, and the complexity of defect reconstruction. The aim of this study is to present a minimally invasive approach, using the example of a spheno-orbital tumor, to evaluate its effectiveness and cosmetic advantages.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"st2\">\n                    <jats:title>Case Description:<\/jats:title>\n                    <jats:p>\n                      A 46-year-old patient with a spheno-orbital cranial neoplasm presented with exophthalmos and decreased visual acuity (VA 6\/18), which had been present for approximately 6 years. A diagnostic evaluation revealed a tumor involving the left greater wing of the sphenoid bone, with extension into the orbit and skull base structures. A notable feature on computed tomography imaging was the inward protrusion of the inner surface of the hyperostotic bone, the lesion had well-defined irregular contours, with remodeling. The patient underwent tumor resection with orbital decompression using a minimally invasive technique. The postoperative period was uneventful, and VA improved on the 1\n                      <jats:sup>st<\/jats:sup>\n                      postoperative day. The patient was followed for 18 months postoperatively, during which no evidence of residual tumor growth was observed.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"st3\">\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The presented minimally invasive lateral spheno-orbital approach proved to be safe and cosmetically favorable due to the small incision within the hair-bearing scalp and preservation of the orbital rim. This approach demonstrated good effectiveness in orbital decompression and may be used as a first-stage procedure when a symptom-oriented strategy is sufficient before craniotomy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.25259\/sni_134_2026","type":"journal-article","created":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T07:28:14Z","timestamp":1788506894000},"page":"495","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Minimally invasive resection of a spheno-orbital tumor: Review of surgical techniques and a case report"],"prefix":"10.25259","volume":"17","author":[{"given":"Khusan","family":"Adashvoyev","sequence":"first","affiliation":[{"name":"Department of Cerebrovascular Surgery, Republican Specialized Scientific and Practical Medical Center of Neurosurgery, Tashkent, Uzbekistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jaloliddin","family":"Boboev","sequence":"additional","affiliation":[{"name":"Department of Cerebrovascular Surgery, Republican Specialized Scientific and Practical Medical Center of Neurosurgery, Tashkent, Uzbekistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ikrom","family":"Rakhimov","sequence":"additional","affiliation":[{"name":"Department of Travmatology and Neurosurgery, Tashkent State Medical University, Tashkent, Uzbekistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ismigul","family":"Abduganieva","sequence":"additional","affiliation":[{"name":"Department of Travmatology and Neurosurgery, Tashkent State Medical University, Tashkent, Uzbekistan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10894","published-online":{"date-parts":[[2026,9,4]]},"reference":[{"key":"10.25259\/SNI_134_2026\/ref-1","doi-asserted-by":"crossref","first-page":"1","DOI":"10.3389\/fsurg.2020.00001","article-title":"Cranio-orbital and orbitocranial approaches to orbital and intracranial disease: Eye-opening approaches for neurosurgeons","volume":"7","author":"Abou-Al-Shaar","year":"2020","journal-title":"Front Surg"},{"key":"10.25259\/SNI_134_2026\/ref-2","doi-asserted-by":"crossref","first-page":"5840","DOI":"10.3390\/jcm12185840","article-title":"Surgical treatment of spheno-orbital meningiomas: A systematic review and meta-analysis of surgical techniques and outcomes","volume":"12","author":"Agosti","year":"2023","journal-title":"J Clin Med"},{"key":"10.25259\/SNI_134_2026\/ref-3","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. Description of surgical strategy and analysis of findings in a series of 88 patients with long-term follow up","volume":"6","author":"Amirjamshidi","year":"2015","journal-title":"Surg Neurol Int"},{"key":"10.25259\/SNI_134_2026\/ref-4","doi-asserted-by":"crossref","first-page":"2133","DOI":"10.1007\/s10143-021-01716-w","article-title":"Predictors of visual function after resection of skull base meningiomas with extradural anterior clinoidectomy","volume":"45","author":"Baucher","year":"2022","journal-title":"Neurosurg Rev"},{"key":"10.25259\/SNI_134_2026\/ref-5","doi-asserted-by":"crossref","DOI":"10.5772\/intechopen.101983","article-title":"Spheno-orbital meningiomas","volume-title":"Skull Base Surgery","author":"Baucher","year":"2022"},{"key":"10.25259\/SNI_134_2026\/ref-6","doi-asserted-by":"crossref","first-page":"E19","DOI":"10.3171\/2014.7.FOCUS14303","article-title":"Endoscopic endonasal optic nerve and orbital apex decompression for nontraumatic optic neuropathy: Surgical nuances and review of the literature","volume":"37","author":"Berhouma","year":"2014","journal-title":"Neurosurg Focus"},{"key":"10.25259\/SNI_134_2026\/ref-7","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":"10.25259\/SNI_134_2026\/ref-8","doi-asserted-by":"crossref","first-page":"371","DOI":"10.3109\/01676830903104645","article-title":"The surgical management and outcomes for spheno-orbital meningiomas: A 7-year review of multi-disciplinary practice","volume":"28","author":"Cannon","year":"2009","journal-title":"Orbit"},{"key":"10.25259\/SNI_134_2026\/ref-9","doi-asserted-by":"crossref","first-page":"243","DOI":"10.1093\/ons\/opx100","article-title":"Endoscopic transorbital superior eyelid approach for the management of selected spheno-orbital meningiomas: Preliminary experience","volume":"14","author":"Dallan","year":"2018","journal-title":"Oper Neurosurg"},{"key":"10.25259\/SNI_134_2026\/ref-10","first-page":"131","article-title":"Al-Mefty\u2019s meningiomas. Second edition. 2011 Edited by Franco DeMonte, Michael W. McDermott, Ossama Al-Mefty. Published by Thieme medical publishers, Inc. 432pages. C$210 approx","volume-title":"Can J Neurol Sci","volume":"40","author":"Del Maestro","year":"2013"},{"key":"10.25259\/SNI_134_2026\/ref-11","doi-asserted-by":"crossref","first-page":"318","DOI":"10.25259\/SNI_165_2022","article-title":"Spheno-orbital meningiomas: Is orbit reconstruction mandatory? Long-term outcomes and exophthalmos improvement","volume":"13","author":"Dos Santos","year":"2022","journal-title":"Surg Neurol Int"},{"key":"10.25259\/SNI_134_2026\/ref-12","doi-asserted-by":"crossref","first-page":"26","DOI":"10.1111\/aos.14517","article-title":"Surgery as a safe and effective treatment option for spheno-orbital meningioma: A systematic review and meta-analysis of surgical techniques and outcomes","volume":"99","author":"Fisher","year":"2021","journal-title":"Acta Ophthalmol"},{"key":"10.25259\/SNI_134_2026\/ref-13","doi-asserted-by":"crossref","first-page":"1113","DOI":"10.1097\/00006534-199710000-00004","article-title":"Strategy of craniofacial reconstruction after resection of spheno-orbital \u201cen plaque\u201d meningiomas","volume":"100","author":"Gaillard","year":"1997","journal-title":"Plast Reconstr Surg"},{"key":"10.25259\/SNI_134_2026\/ref-14","doi-asserted-by":"crossref","first-page":"1618","DOI":"10.1001\/archopht.116.12.1618","article-title":"The lacrimal keyhole, orbital door jamb, and basin of the inferior orbital fissure. Three areas of deep bone in the lateral orbit","volume":"116","author":"Goldberg","year":"1998","journal-title":"Arch Ophthalmol"},{"key":"10.25259\/SNI_134_2026\/ref-15","doi-asserted-by":"crossref","first-page":"291","DOI":"10.1007\/s10143-017-0855-7","article-title":"Sphenoorbital meningioma: Surgical series and design of an intraoperative management algorithm","volume":"41","author":"Gonen","year":"2018","journal-title":"Neurosurg Rev"},{"key":"10.25259\/SNI_134_2026\/ref-16","doi-asserted-by":"crossref","first-page":"749","DOI":"10.1007\/s007010170028","article-title":"Sphenoid wing meningioma en plaque: A clinical review","volume":"143","author":"Honeybul","year":"2001","journal-title":"Acta Neurochir (Wien)"},{"key":"10.25259\/SNI_134_2026\/ref-17","doi-asserted-by":"crossref","first-page":"314","DOI":"10.1179\/016164109X12464612122614","article-title":"Spheno-orbital meningiomas: Outcome after microsurgical treatment: A clinical review of 30 cases","volume":"32","author":"Honig","year":"2010","journal-title":"Neurol Res"},{"key":"10.25259\/SNI_134_2026\/ref-18","doi-asserted-by":"crossref","first-page":"320","DOI":"10.3109\/01676830903334028","article-title":"Total lateral orbitotomy","volume":"28","author":"Kim","year":"2009","journal-title":"Orbit"},{"key":"10.25259\/SNI_134_2026\/ref-19","doi-asserted-by":"crossref","first-page":"1587","DOI":"10.1007\/s00701-016-2850-0","article-title":"Internal and external spheno-orbital meningioma varieties: Different outcomes and prognoses","volume":"158","author":"Leroy","year":"2016","journal-title":"Acta Neurochir (Wien)"},{"key":"10.25259\/SNI_134_2026\/ref-20","first-page":"E11","article-title":"Orbital tumors treated using transcranial approaches: Surgical technique and neuroophthalmogical results in 41 patients","volume-title":"Neurosurg Focus","volume":"23","author":"Margalit","year":"2007"},{"key":"10.25259\/SNI_134_2026\/ref-21","first-page":"77","article-title":"Surgical unroofing of the optic canal and visual outcome in basal meningiomas","volume-title":"Acta Neurochir (Wien)","volume":"155","author":"Mariniello","year":"2013"},{"key":"10.25259\/SNI_134_2026\/ref-22","doi-asserted-by":"crossref","first-page":"107","DOI":"10.1227\/00006123-199001000-00015","article-title":"Combined frontotemporal-orbitozygomatic approach for tumors of the sphenoid wing and orbit","volume":"26","author":"McDermott","year":"1990","journal-title":"Neurosurgery"},{"key":"10.25259\/SNI_134_2026\/ref-23","first-page":"100","article-title":"En plaque sphenoid wing meningiomas: Recurrence factors and surgical strategy in a series of 71 patients","volume":"65","author":"Mirone","year":"2009","journal-title":"Neurosurgery"},{"key":"10.25259\/SNI_134_2026\/ref-24","doi-asserted-by":"crossref","first-page":"959","DOI":"10.1007\/s00701-006-0859-5","article-title":"Surgical exposure of lateral orbital lesions using a coronal scalp flap and lateral orbitozygomatic approach: Clinical experience","volume":"148","author":"Paolini","year":"2006","journal-title":"Acta Neurochir (Wien)"},{"key":"10.25259\/SNI_134_2026\/ref-25","doi-asserted-by":"crossref","first-page":"1539","DOI":"10.1007\/s00701-011-1038-x","article-title":"Surgical management of spheno-orbital meningiomas","volume":"153","author":"Saeed","year":"2011","journal-title":"Acta Neurochir (Wien)"},{"key":"10.25259\/SNI_134_2026\/ref-26","doi-asserted-by":"crossref","first-page":"260","DOI":"10.1016\/j.jcms.2005.01.013","article-title":"Spheno-orbital meningiomas: Interdisciplinary surgical approach, resectability and long-term results","volume":"33","author":"Sandalcioglu","year":"2005","journal-title":"J Craniomaxillofac Surg"},{"key":"10.25259\/SNI_134_2026\/ref-27","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":"10.25259\/SNI_134_2026\/ref-28","doi-asserted-by":"crossref","first-page":"e145","DOI":"10.1016\/j.wneu.2017.12.182","article-title":"Spheno-orbital meningiomas surgery: Multicenter management study for complex extensive tumors","volume":"112","author":"Terrier","year":"2018","journal-title":"World Neurosurg"}],"container-title":["Surgical Neurology International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/surgicalneurologyint.com\/minimally-invasive-resection-of-a-spheno-orbital-tumor-review-of-surgical-techniques-and-a-case-report\/","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/minimally-invasive-resection-of-a-spheno-orbital-tumor-review-of-surgical-techniques-and-a-case-report\/","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T07:28:17Z","timestamp":1788506897000},"score":1,"resource":{"primary":{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/minimally-invasive-resection-of-a-spheno-orbital-tumor-review-of-surgical-techniques-and-a-case-report\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,4]]},"references-count":28,"alternative-id":["10.25259\/SNI_134_2026"],"URL":"https:\/\/doi.org\/10.25259\/sni_134_2026","relation":{},"ISSN":["2152-7806","2229-5097"],"issn-type":[{"value":"2152-7806","type":"electronic"},{"value":"2229-5097","type":"print"}],"subject":[],"published":{"date-parts":[[2026,9,4]]},"article-number":"495"}}