{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T23:46:11Z","timestamp":1791589571409,"version":"4.3.4"},"reference-count":31,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\n Background:<\/jats:title>\n Meningiomas correspond to one-third of all primary central nervous system tumors. Approximately 9% of them are spheno-orbital meningiomas (SOMs), presenting significant clinical symptoms as visual impairment and orbital esthetics. This article aims to evaluate exophthalmos\u2019 improvement in a surgical series without orbital reconstruction.<\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n We consecutively included all patients diagnosed with SOM, admitted to a single institution for 10 years. Surgical resection was the standard of care, associated or not with adjuvant radiation therapy. The radiological investigation included preoperative and postoperative head CT or MRI. We quantified proptosis through imaging.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n Forty patients composed this series, 87.5% were female. Proptosis was the most common presentation (90%), followed by decreased visual acuity (65%), motility deficit (20%), and headache (20%). Gross total resection was achieved in 65% of the procedures. In late outcomes, 78% of the patients maintained or improved visual acuity and 85% maintained or improved headache. Proptosis significantly improved after surgery and along with the follow-up (\n P<\/jats:italic>\n < 0.001). Ten patients were submitted to adjuvant RT, six of them after a subtotal resection. All patients of this subgroup had proptosis. It was observed a higher frequency of worse in visual acuity in patients submitted to RT (71% vs. 28%,\n P<\/jats:italic>\n = 0.038).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n Resection of SOM was sufficient to stop the evolution of visual deficit and allowed the improvement of proptosis. Orbital reconstruction does not seem to be an essential step in reducing enophthalmos.<\/jats:p>\n <\/jats:sec>","DOI":"10.25259\/sni_165_2022","type":"journal-article","created":{"date-parts":[[2022,7,22]],"date-time":"2022-07-22T04:54:13Z","timestamp":1658465653000},"page":"318","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Spheno-orbital meningiomas: Is orbit reconstruction mandatory? Long-term outcomes and exophthalmos improvement"],"prefix":"10.25259","volume":"13","author":[{"given":"Alexandra Gomes dos","family":"Santos","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wellingson Silva","family":"Paiva","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leila Maria","family":"da Roz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcelo Prudente do Espirito","family":"Santo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manoel Jacobsen","family":"Teixeira","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eberval G.","family":"Figueiredo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vinicius Trindade Gomes","family":"da Silva","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10894","published-online":{"date-parts":[[2022,7,22]]},"reference":[{"key":"10.25259\/SNI_165_2022\/ref-1","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_165_2022\/ref-2","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_165_2022\/ref-3","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_165_2022\/ref-4","doi-asserted-by":"crossref","first-page":"325","DOI":"10.1016\/S0901-5027(00)80045-4","article-title":"Reconstruction of the orbital walls in surgery of the skull base for benign neoplasms","volume":"29","author":"Brusati","year":"2000","journal-title":"Int J Oral Maxillofac Surg"},{"key":"10.25259\/SNI_165_2022\/ref-5","doi-asserted-by":"crossref","first-page":"e28","DOI":"10.1016\/j.jcms.2011.01.016","article-title":"Porous polyethylene implant reconstruction of the orbit after resection of spheno-orbital meningiomas: A novel technique","volume":"40","author":"Chambless","year":"2012","journal-title":"J Craniomaxillofac Surg"},{"key":"10.25259\/SNI_165_2022\/ref-6","doi-asserted-by":"crossref","first-page":"139","DOI":"10.1001\/archneurpsyc.1922.02190140030003","article-title":"The cranial hyperostosis produced by meningeal endotheliomas","volume":"8","author":"Cushing","year":"1922","journal-title":"Arch Neurol Psychiatry"},{"key":"10.25259\/SNI_165_2022\/ref-7","first-page":"185","article-title":"The Meningiomas: Their Classification, Regional Behavior, Life History, and Surgical end Results","volume":"27","author":"Cushing","year":"1938","journal-title":"Vol"},{"key":"10.25259\/SNI_165_2022\/ref-8","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_165_2022\/ref-9","doi-asserted-by":"crossref","first-page":"e48","DOI":"10.1016\/j.wneu.2018.12.175","article-title":"Sphenoid wing meningiomas: Surgical outcomes in a series of 141 cases and proposal of a scoring system predicting extent of resection","volume":"125","author":"G\u00fcd\u00fck","year":"2019","journal-title":"World Neurosurg"},{"key":"10.25259\/SNI_165_2022\/ref-10","doi-asserted-by":"crossref","first-page":"223","DOI":"10.1097\/IOP.0b013e3181a1f345","article-title":"Reconstructive and ophthalmologic outcomes following resection of spheno-orbital meningiomas","volume":"25","author":"Heufelder","year":"2009","journal-title":"Ophthalmic Plast Reconstr Surg"},{"key":"10.25259\/SNI_165_2022\/ref-11","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_165_2022\/ref-12","doi-asserted-by":"crossref","first-page":"18","DOI":"10.1097\/IOP.0000000000001662","article-title":"Multidisciplinary frontotemporal orbitozygomatic craniotomy for spheno-orbital meningiomas: Ophthalmic and orbital outcomes","volume":"37","author":"Idowu","year":"2021","journal-title":"Ophthalmic Plast Reconstr Surg"},{"key":"10.25259\/SNI_165_2022\/ref-13","doi-asserted-by":"crossref","first-page":"63","DOI":"10.1007\/s11060-018-2769-9","article-title":"Prediction of progression in skull base meningiomas: Additional benefits of apparent diffusion coefficient value","volume":"138","author":"Ko","year":"2018","journal-title":"J Neurooncol"},{"key":"10.25259\/SNI_165_2022\/ref-14","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_165_2022\/ref-15","doi-asserted-by":"crossref","first-page":"97","DOI":"10.1007\/s00401-007-0243-4","article-title":"The 2007 WHO classification of tumours of the central nervous system","volume":"114","author":"Louis","year":"2007","journal-title":"Acta Neuropathol"},{"key":"10.25259\/SNI_165_2022\/ref-16","doi-asserted-by":"crossref","first-page":"803","DOI":"10.1007\/s00401-016-1545-1","article-title":"The 2016 World Health Organization classification of tumors of the central nervous system: A summary","volume":"131","author":"Louis","year":"2016","journal-title":"Acta Neuropathol"},{"key":"10.25259\/SNI_165_2022\/ref-17","doi-asserted-by":"crossref","first-page":"175","DOI":"10.1055\/s-2008-1077077","article-title":"Spheno-orbital meningiomas: Surgical approaches and outcome according to the intraorbital tumor extent","volume":"69","author":"Mariniello","year":"2008","journal-title":"Zentralbl Neurochir"},{"key":"10.25259\/SNI_165_2022\/ref-18","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1007\/s00701-012-1485-z","article-title":"Surgical unroofing of the optic canal and visual outcome in basal meningiomas","volume":"155","author":"Mariniello","year":"2013","journal-title":"Acta Neurochir (Wien)"},{"key":"10.25259\/SNI_165_2022\/ref-19","doi-asserted-by":"crossref","first-page":"202","DOI":"10.3171\/jns.1994.80.2.0202","article-title":"Recurrent spheno-orbital meningioma","volume":"80","author":"Maroon","year":"1994","journal-title":"J Neurosurg"},{"key":"10.25259\/SNI_165_2022\/ref-20","article-title":"Trends in Reconstructive Neurosurgery","volume-title":"Cham","author":"Maugeri","year":"2017"},{"key":"10.25259\/SNI_165_2022\/ref-21","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1076\/orbi.20.1.25.2640","article-title":"Orbital meningioma, the Utrecht experience","volume":"20","author":"Mourits","year":"2001","journal-title":"Orbit"},{"key":"10.25259\/SNI_165_2022\/ref-22","doi-asserted-by":"crossref","first-page":"e679","DOI":"10.1016\/j.wneu.2019.02.123","article-title":"Spheno-orbital meningioma: Surgical outcomes and management of recurrence","volume":"126","author":"Nagahama","year":"2019","journal-title":"World Neurosurg"},{"key":"10.25259\/SNI_165_2022\/ref-23","doi-asserted-by":"crossref","first-page":"v1","DOI":"10.1093\/neuonc\/noz150","article-title":"CBTRUS statistical report: Primary brain and other central nervous system tumors diagnosed in the United States in 2012-2016","volume":"21","author":"Ostrom","year":"2019","journal-title":"Neuro Oncol"},{"key":"10.25259\/SNI_165_2022\/ref-24","doi-asserted-by":"crossref","first-page":"411","DOI":"10.1016\/S0090-3019(82)80006-2","article-title":"Hyperostosing meningiomas of the sphenoid ridge clinical features, surgical therapy, and long-term observations: Review of 49 cases","volume":"17","author":"Pompili","year":"1982","journal-title":"Surg Neurol"},{"key":"10.25259\/SNI_165_2022\/ref-25","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":"10.25259\/SNI_165_2022\/ref-26","doi-asserted-by":"crossref","first-page":"395","DOI":"10.1007\/s00701-010-0878-0","article-title":"Natural history of spheno-orbital meningiomas","volume":"153","author":"Saeed","year":"2011","journal-title":"Acta Neurochir (Wien)"},{"key":"10.25259\/SNI_165_2022\/ref-27","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_165_2022\/ref-28","doi-asserted-by":"crossref","first-page":"1069","DOI":"10.3171\/2009.1.JNS081263","article-title":"Long-term results with exophthalmos in a surgical series of 30 sphenoorbital meningiomas. Clinical article","volume":"111","author":"Scarone","year":"2009","journal-title":"J Neurosurg"},{"key":"10.25259\/SNI_165_2022\/ref-29","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_165_2022\/ref-30","doi-asserted-by":"crossref","first-page":"22","DOI":"10.1136\/jnnp.20.1.22","article-title":"The recurrence of intracranlal meningiomas after surgical treatment","volume":"20","author":"Simpson","year":"1957","journal-title":"J Neurol Neurosurg Psychiatry"},{"key":"10.25259\/SNI_165_2022\/ref-32","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\/spheno-orbital-meningiomas-is-orbit-reconstruction-mandatory-long-term-outcomes-and-exophthalmos-improvement\/","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/spheno-orbital-meningiomas-is-orbit-reconstruction-mandatory-long-term-outcomes-and-exophthalmos-improvement\/","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,7,22]],"date-time":"2022-07-22T04:54:43Z","timestamp":1658465683000},"score":1,"resource":{"primary":{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/spheno-orbital-meningiomas-is-orbit-reconstruction-mandatory-long-term-outcomes-and-exophthalmos-improvement\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,7,22]]},"references-count":31,"alternative-id":["10.25259\/SNI_165_2022"],"URL":"https:\/\/doi.org\/10.25259\/sni_165_2022","relation":{},"ISSN":["2152-7806"],"issn-type":[{"value":"2152-7806","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,7,22]]},"article-number":"318"}}