{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:01:39Z","timestamp":1782864099480,"version":"3.54.5"},"reference-count":10,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"2","license":[{"start":{"date-parts":[[2025,4,1]],"date-time":"2025-04-01T00:00:00Z","timestamp":1743465600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:p>Orbital cavernous hemangiomas are the most common benign primary neoplasm of the orbit in adults and can lead to proptosis and optic neuropathy. Resection is the primary treatment for symptomatic cases. Choice of surgical approach depends on the lesion\u2019s size, location, and relation to intraorbital structures. The authors present the case of a 40-year-old male with a large symptomatic orbital hemangioma resected through a combined endoscopic transorbital and endonasal approach. This case highlights the advantages of the combined approach, enhancing visibility and minimizing disruption of orbital structures, allowing for en bloc resection of large orbital hemangiomas.<\/jats:p>\n                  <jats:p>\n                    The video can be found here:\n                    <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"https:\/\/stream.cadmore.media\/r10.3171\/2025.1.FOCVID24197\">https:\/\/stream.cadmore.media\/r10.3171\/2025.1.FOCVID24197<\/jats:ext-link>\n                  <\/jats:p>","DOI":"10.3171\/2025.1.focvid24197","type":"journal-article","created":{"date-parts":[[2025,4,1]],"date-time":"2025-04-01T07:36:25Z","timestamp":1743492985000},"page":"V16","source":"Crossref","is-referenced-by-count":0,"title":["Combined transorbital neuroendoscopic and endoscopic endonasal resection of orbital hemangioma"],"prefix":"10.3171","volume":"12","author":[{"given":"Christina","family":"Jackson","sequence":"first","affiliation":[{"name":"Departments of Neurological Surgery,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Fernandes Cabral","sequence":"additional","affiliation":[{"name":"Departments of Neurological Surgery,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S. Tonya","family":"Stefko","sequence":"additional","affiliation":[{"name":"Ophthalmology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric W.","family":"Wang","sequence":"additional","affiliation":[{"name":"Otolaryngology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Georgios A.","family":"Zenonos","sequence":"additional","affiliation":[{"name":"Departments of Neurological Surgery,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carl H.","family":"Snyderman","sequence":"additional","affiliation":[{"name":"Otolaryngology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul A.","family":"Gardner","sequence":"additional","affiliation":[{"name":"Departments of Neurological Surgery,"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"issue":"5","key":"b1","series-title":"Otolaryngol Head Neck Surg","first-page":"699","article-title":"Seeing the light: endoscopic endonasal intraconal orbital tumor surgery","volume":"143","author":"McKinney KA","year":"2010","unstructured":"McKinney KA, Snyderman CH, Carrau RL,  Seeing the light: endoscopic endonasal intraconal orbital tumor surgery. Otolaryngol Head Neck Surg. 2010;143(5):699\u2013701."},{"issue":"1","key":"b2","series-title":"AJNR Am J Neuroradiol","first-page":"E7","article-title":"Orbital cavernous hemangiomas","volume":"30","author":"Wilms G","year":"2009","unstructured":"Wilms G. Orbital cavernous hemangiomas. AJNR Am J Neuroradiol. 2009;30(1):E7."},{"issue":"1","key":"b3","series-title":"J Neurol Surg B Skull Base","first-page":"20","article-title":"Typical orbital pathologies: hemangioma","volume":"82","author":"Low CM","year":"2021","unstructured":"Low CM, Stokken JK. Typical orbital pathologies: hemangioma. J Neurol Surg B Skull Base. 2021;82(1):20\u201326."},{"key":"b4","series-title":"Surg Neurol Int","first-page":"58","article-title":"Endoscopic endonasal removal of a cavernous hemangioma of the orbital apex","volume":"2","author":"Locatelli M","year":"2011","unstructured":"Locatelli M, Carrabba G, Guastella C, Gaini SM, Spagnoli D. Endoscopic endonasal removal of a cavernous hemangioma of the orbital apex. Surg Neurol Int. 2011;2:58."},{"issue":"2","key":"b5","series-title":"Int Forum Allergy Rhinol","first-page":"156","article-title":"Endoscopic endonasal orbital cavernous hemangioma resection: global experience in techniques and outcomes","volume":"6","author":"Bleier BS","year":"2016","unstructured":"Bleier BS, Castelnuovo P, Battaglia P,  Endoscopic endonasal orbital cavernous hemangioma resection: global experience in techniques and outcomes. Int Forum Allergy Rhinol. 2016;6(2):156\u2013161."},{"issue":"5","key":"b1","series-title":"Otolaryngol Head Neck Surg","first-page":"699","article-title":"Seeing the light: endoscopic endonasal intraconal orbital tumor surgery","volume":"143","author":"McKinney KA","year":"2010","unstructured":"McKinney KA, Snyderman CH, Carrau RL,  Seeing the light: endoscopic endonasal intraconal orbital tumor surgery. Otolaryngol Head Neck Surg. 2010;143(5):699\u2013701."},{"issue":"1","key":"b2","series-title":"AJNR Am J Neuroradiol","first-page":"E7","article-title":"Orbital cavernous hemangiomas","volume":"30","author":"Wilms G","year":"2009","unstructured":"Wilms G. Orbital cavernous hemangiomas. AJNR Am J Neuroradiol. 2009;30(1):E7."},{"issue":"1","key":"b3","series-title":"J Neurol Surg B Skull Base","first-page":"20","article-title":"Typical orbital pathologies: hemangioma","volume":"82","author":"Low CM","year":"2021","unstructured":"Low CM, Stokken JK. Typical orbital pathologies: hemangioma. J Neurol Surg B Skull Base. 2021;82(1):20\u201326."},{"key":"b4","series-title":"Surg Neurol Int","first-page":"58","article-title":"Endoscopic endonasal removal of a cavernous hemangioma of the orbital apex","volume":"2","author":"Locatelli M","year":"2011","unstructured":"Locatelli M, Carrabba G, Guastella C, Gaini SM, Spagnoli D. Endoscopic endonasal removal of a cavernous hemangioma of the orbital apex. Surg Neurol Int. 2011;2:58."},{"issue":"2","key":"b5","series-title":"Int Forum Allergy Rhinol","first-page":"156","article-title":"Endoscopic endonasal orbital cavernous hemangioma resection: global experience in techniques and outcomes","volume":"6","author":"Bleier BS","year":"2016","unstructured":"Bleier BS, Castelnuovo P, Battaglia P,  Endoscopic endonasal orbital cavernous hemangioma resection: global experience in techniques and outcomes. 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