{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,25]],"date-time":"2026-10-25T00:42:23Z","timestamp":1792888943802,"version":"4.5.0"},"reference-count":29,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JNS"],"published-print":{"date-parts":[[2011,5]]},"abstract":"<jats:sec>\n<jats:title>Object<\/jats:title>\n<jats:p>The aim of this study was to describe the surgical technique used for removal of sphenoorbital meningiomas in the authors' practice and to review the operative outcome.<\/jats:p><\/jats:sec>\n<jats:sec>\n<jats:title>Methods<\/jats:title>\n<jats:p>Review of the senior author's practice between 1994 and 2009 revealed 39 patients (mean age 48 years) eligible for this study. Clinical presentation, surgical technique, postoperative outcome, and follow-up data are presented. Surgical technique is detailed, with an emphasis on aggressive removal consisting of drilling of the hypertrophied sphenoid bone, orbital wall, and anterior clinoid process, followed by tumor removal and a wide resection of the involved dura. A simple dural closure without reconstruction of the orbital roof or the lateral wall of the orbit is also described.<\/jats:p><\/jats:sec>\n<jats:sec>\n<jats:title>Results<\/jats:title>\n<jats:p>Gross-total resection was achieved in 15 cases (38.5%), near-total resection with small residual in the cavernous sinus or periorbita in 20 cases (51.3%), and subtotal resection in 4 cases (10.3%). Postoperative complications included trigeminal hypesthesia in 9 patients, oculomotor palsy in 3 patients, and seizure in 2 patients. Seven patients had recurrence within the mean follow-up period of 40.7 months. Preoperative visual deficits were present in 21 patients (53.8%). Of these, 14 (66.7%) experienced visual recovery to normal levels postoperatively. Statistical analyses revealed preoperative severe visual deficit and sphenoid bone hypertrophy as an independent risk factor and an independent favorable factor, respectively, for a favorable visual outcome. Proptosis was resolved (\u2264 2 mm) in 73.5% of the authors' patients. No patient had postoperative enophthalmos.<\/jats:p><\/jats:sec>\n<jats:sec>\n<jats:title>Conclusions<\/jats:title>\n<jats:p>In the authors' practice, surgery for sphenoorbital meningiomas consists of resection of the orbital\/sphenoid intraosseous, intraorbital, and intradural tumor components. The authors believe that aggressive removal of the orbital\/sphenoid intraosseous tumor is critical for a favorable visual outcome and tumor control. Furthermore, satisfactory cosmetic results can be achieved with simple reconstruction techniques as described.<\/jats:p><\/jats:sec>","DOI":"10.3171\/2010.10.jns101128","type":"journal-article","created":{"date-parts":[[2010,12,24]],"date-time":"2010-12-24T14:55:22Z","timestamp":1293202522000},"page":"1241-1249","source":"Crossref","is-referenced-by-count":76,"title":["Sphenoorbital meningioma: surgical technique and outcome"],"prefix":"10.3171","volume":"114","author":[{"given":"Soichi","family":"Oya","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Burak","family":"Sade","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joung H.","family":"Lee","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"b1-jns101128","series-title":"Neurosurgery","first-page":"1375","article-title":"Large sphenoid wing meningiomas involving the cavernous sinus: conservative surgical strategies for better functional outcomes","volume":"54","author":"Abdel-Aziz","year":"2004"},{"key":"b2-jns101128","series-title":"J Neurosurg","first-page":"51","article-title":"The recurrence of intracranial meningiomas after surgical treatment","volume":"58","author":"Adegbite","year":"1983"},{"issue":"4 Suppl 2","key":"b3-jns101128","series-title":"Neurosurgery","first-page":"352","article-title":"Watertight dural closure: is it necessary? A prospective randomized trial in patients with supratentorial craniotomies","volume":"63","author":"Barth","year":"2008"},{"key":"b4-jns101128","series-title":"Orbit","first-page":"371","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"},{"key":"b5-jns101128","series-title":"Acta Neurochir (Wien)","first-page":"27","article-title":"Surgical treatment of meningiomas of the orbit and optic canal: a retrospective study with particular attention to the visual outcome","volume":"126","author":"Cristante","year":"1994"},{"key":"b6-jns101128","series-title":"Meningiomas. Their classification, regional behaviour, life history, and surgical end results","author":"Cushing","year":"1938"},{"key":"b7-jns101128","series-title":"J Neurosurg","first-page":"824","article-title":"Direct microsurgical repair of intracavernous vascular lesions","volume":"58","author":"Dolenc","year":"1983"},{"key":"b8-jns101128","series-title":"Plast Reconstr Surg","first-page":"1113","article-title":"Strategy of craniofacial reconstruction after resection of spheno-orbital \u201cen plaque\u201d meningiomas","volume":"100","author":"Gaillard","year":"1997"},{"key":"b9-jns101128","series-title":"Acta Neurochir (Wien)","first-page":"749","article-title":"Sphenoid wing meningioma en plaque: a clinical review","volume":"143","author":"Honeybul","year":"2001"},{"key":"b10-jns101128","series-title":"Neurol Res","first-page":"314","article-title":"Spheno-orbital meningiomas: outcome after microsurgical treatment: a clinical review of 30 cases","volume":"32","author":"Honig","year":"2010"},{"key":"b11-jns101128","series-title":"Arch Facial Plast Surg","first-page":"99","article-title":"Reconstruction after resection of sphenoid wing meningiomas","volume":"7","author":"Leake","year":"2005"},{"key":"b12-jns101128","series-title":"Neurosurgery","first-page":"1012","article-title":"Surgical management of clinoidal meningiomas","volume":"48","author":"Lee","year":"2001"},{"key":"b13-jns101128","series-title":"Neurosurgery","first-page":"ONS108","article-title":"A surgical technique for the removal of clinoidal meningiomas","volume":"59","author":"Lee","year":"2006"},{"key":"b14-jns101128","series-title":"Chin Med J (Engl)","first-page":"2423","article-title":"Sphenoid wing meningioma en plaque: report of 37 cases","volume":"122","author":"Li","year":"2009"},{"key":"b15-jns101128","series-title":"Neurosurgery","first-page":"523","article-title":"Meningiomas involving the optic nerve: technical aspects and outcomes for a series of 50 patients","volume":"53","author":"Margalit","year":"2003"},{"key":"b16-jns101128","series-title":"Zentralbl Neurochir","first-page":"175","article-title":"Spheno-orbital meningiomas: surgical approaches and outcome according to the intraorbital tumor extent","volume":"69","author":"Mariniello","year":"2008"},{"key":"b17-jns101128","series-title":"J Neurosurg","first-page":"202","article-title":"Recurrent spheno-orbital meningioma","volume":"80","author":"Maroon","year":"1994"},{"key":"b18-jns101128","series-title":"Int J Radiat Oncol Biol Phys","first-page":"1111","article-title":"Optimizing radiotherapy of orbital and paraorbital tumors: intensity-modulated X-ray beams vs. intensity-modulated proton beams","volume":"47","author":"Miralbell","year":"2000"},{"key":"b19-jns101128","series-title":"J Neurosurg","first-page":"18","article-title":"Meningioma: analysis of recurrence and progression following neurosurgical resection","volume":"62","author":"Mirimanoff","year":"1985"},{"issue":"6 Suppl","key":"b20-jns101128","series-title":"Neurosurgery","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"},{"key":"b21-jns101128","series-title":"Neurosurgery","first-page":"839","article-title":"Effect of early optic canal unroofing on the outcome of visual functions in surgery for meningiomas of the tuberculum sellae and planum sphenoidale","volume":"62","author":"Nozaki","year":"2008"},{"issue":"4 Suppl 2","key":"b22-jns101128","series-title":"Neurosurgery","first-page":"214","article-title":"Microsurgical technique and results of a series of 63 spheno-orbital meningiomas","volume":"60","author":"Ringel","year":"2007"},{"key":"b23-jns101128","series-title":"Surg Neurol","first-page":"37","article-title":"Sphenoid wing meningiomas with osseous involvement","volume":"64","author":"Roser","year":"2005"},{"key":"b24-jns101128","series-title":"J Neurosurg","article-title":"Non-watertight dural reconstruction in meningioma surgery: results in 439 consecutive patients and a review of the literature. Clinical article","author":"Sade"},{"key":"b25-jns101128","series-title":"J Craniomaxillofac Surg","first-page":"260","article-title":"Spheno-orbital meningiomas: interdisciplinary surgical approach, resectability and long-term results","volume":"33","author":"Sandalcioglu","year":"2005"},{"key":"b26-jns101128","series-title":"J Neurosurg","first-page":"1069","article-title":"Long-term results with exophthalmos in a surgical series of 30 sphenoorbital meningiomas. Clinical article","volume":"111","author":"Scarone","year":"2009"},{"key":"b27-jns101128","series-title":"J Neurosurg","first-page":"208","article-title":"Management of meningiomas en plaque of the sphenoid wing","volume":"104","author":"Schick","year":"2006"},{"key":"b28-jns101128","series-title":"J Neurosurg","first-page":"491","article-title":"Sphenoorbital meningiomas: surgical limitations and lessons learned in their long-term management","volume":"103","author":"Shrivastava","year":"2005"},{"key":"b29-jns101128","series-title":"Meningiomas","first-page":"379","article-title":"Orbitosphenoid meningiomas","author":"Sincoff","year":"2008"}],"container-title":["Journal of Neurosurgery"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg\/114\/5\/article-p1241.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg\/114\/5\/article-p1241.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg\/114\/5\/article-p1241.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,3,27]],"date-time":"2023-03-27T07:04:59Z","timestamp":1679900699000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg\/114\/5\/article-p1241.xml"}},"subtitle":["Clinical article"],"short-title":[],"issued":{"date-parts":[[2011,5]]},"references-count":29,"journal-issue":{"issue":"5"},"URL":"https:\/\/doi.org\/10.3171\/2010.10.jns101128","relation":{},"ISSN":["0022-3085","1933-0693"],"issn-type":[{"value":"0022-3085","type":"print"},{"value":"1933-0693","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,5]]}}}