caa a22 4500 606184279 CHVBK 20210128100825.0 cr unu---uuuuu 210128e20151201xx s 000 0 eng 10.1007/s00405-015-3556-2 doi (NATIONALLICENCE)springer-10.1007/s00405-015-3556-2 Transorbital endoscopic assisted resection of a superior orbital fissure cavernous haemangioma: a technical case report [Elektronische Daten] [Iacopo Dallan, Davide Locatelli, Mario Turri-Zanoni, Paolo Battaglia, Davide Lepera, Nicola Galante, Stefano Sellari-Franceschini, Paolo Castelnuovo] Objectives: Superior orbital fissure and orbital apex lesions are challenging to manage, regardless of the approach chosen, due to the potential morbidity. The objectives of this study are to describe an innovative, minimally invasive surgical approach addressing this critical area and to discuss its indications and outcomes. Subject: A young patient presented with visual disturbances (reduction of color discrimination, central scotoma) and mild exophthalmos owing to the presence of a right orbital apex cavernous haemangioma with superior orbital fissure invasion. Methods: The lesion was removed via a minimally invasive, neuronavigated, transorbital superior eyelid endoscopic-assisted approach. Main outcome measures: Technical feasibility and safety, early and late complications, length of hospitalization time and follow-up data were collected and analyzed. Results: The lesion was radically resected minimizing the surgical morbidity and hospitalization time for the patient and with encouraging functional and cosmetic outcomes. No recurrences were observed 1year after surgery. Conclusions: The endoscopic-assisted transorbital approach should be considered a safe and effective option that can be applied in the treatment of lesions affecting such complex anatomical regions, as it offers excellent visualization of the surgical field, acceptable sequelae and reduced morbidity in relation to the traditional transcranial/transfacial approaches. Further studies and larger case series are needed in order to validate the reproducibility and range of applications of this surgical technique. Springer-Verlag Berlin Heidelberg, 2015 Skull base nationallicence Endoscopy nationallicence Orbital apex nationallicence Superior orbital fissure nationallicence Superior eyelid approach nationallicence SOF : Superior orbital fissure nationallicence MRI : Magnetic resonance imaging nationallicence Dallan Iacopo First Otorhinolaryngologic Unit, Azienda Ospedaliero-Universitaria Pisana, Pisa, Italy aut Locatelli Davide Department of Neurosurgery, Civic Hospital, Legnano, Italy aut Turri-Zanoni Mario Division of Otorhinolaryngology, Department of Biotechnology and Life Sciences, University of Insubria, Via Guicciardini 9, Varese, Italy aut Battaglia Paolo Division of Otorhinolaryngology, Department of Biotechnology and Life Sciences, University of Insubria, Via Guicciardini 9, Varese, Italy aut Lepera Davide Division of Otorhinolaryngology, Department of Biotechnology and Life Sciences, University of Insubria, Via Guicciardini 9, Varese, Italy aut Galante Nicola Department of Neurosurgery, Civic Hospital, Legnano, Italy aut Sellari-Franceschini Stefano First Otorhinolaryngologic Unit, Azienda Ospedaliero-Universitaria Pisana, Pisa, Italy aut Castelnuovo Paolo Division of Otorhinolaryngology, Department of Biotechnology and Life Sciences, University of Insubria, Via Guicciardini 9, Varese, Italy aut European Archives of Oto-Rhino-Laryngology Springer Berlin Heidelberg 272/12(2015-12-01), 3851-3856 0937-4477 272:12<3851 2015 272 405 https://doi.org/10.1007/s00405-015-3556-2 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00405-015-3556-2 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Dallan Iacopo First Otorhinolaryngologic Unit, Azienda Ospedaliero-Universitaria Pisana, Pisa, Italy aut NATIONALLICENCE 700 1- Locatelli Davide Department of Neurosurgery, Civic Hospital, Legnano, Italy aut NATIONALLICENCE 700 1- Turri-Zanoni Mario Division of Otorhinolaryngology, Department of Biotechnology and Life Sciences, University of Insubria, Via Guicciardini 9, Varese, Italy aut NATIONALLICENCE 700 1- Battaglia Paolo Division of Otorhinolaryngology, Department of Biotechnology and Life Sciences, University of Insubria, Via Guicciardini 9, Varese, Italy aut NATIONALLICENCE 700 1- Lepera Davide Division of Otorhinolaryngology, Department of Biotechnology and Life Sciences, University of Insubria, Via Guicciardini 9, Varese, Italy aut NATIONALLICENCE 700 1- Galante Nicola Department of Neurosurgery, Civic Hospital, Legnano, Italy aut NATIONALLICENCE 700 1- Sellari-Franceschini Stefano First Otorhinolaryngologic Unit, Azienda Ospedaliero-Universitaria Pisana, Pisa, Italy aut NATIONALLICENCE 700 1- Castelnuovo Paolo Division of Otorhinolaryngology, Department of Biotechnology and Life Sciences, University of Insubria, Via Guicciardini 9, Varese, Italy aut NATIONALLICENCE 773 0- European Archives of Oto-Rhino-Laryngology Springer Berlin Heidelberg 272/12(2015-12-01), 3851-3856 0937-4477 272:12<3851 2015 272 405