The endoscopic transorbital approach to the anterior skull base is one of the most important emerging trends in neurosurgery. It is poised to join the endonasal endoscopic approach as a major tool for minimally invasive access to lesions in the anterior skull base. Arising from a collaboration between oculoplastic, ENT surgeons, and neurosurgeons, the endoscopic transorbital approach provides access to areas in the lateral skull base that are inaccessible to the endonasal approach, such as the cavernous sinus, Meckel’s cave, and the sphenoid wing.
Minimally invasive surgery to the skull base has been considered a cornerstone in the skull base field. It is imperative to avoid excessive brain retraction as well as cosmetic issues. Endoscopic endonasal surgery has achieved a distinguished goal for a minimally invasive access to the deep skull base tumors. However, it remains challenging for an endonasal approach to access the lateral skull base tumors involving middle cranial fossa, cavernous sinus, and temporal lobes. Recently, endoscopic transorbital surgery has emerged as a candidate to overcome these limitations. However, the experience of endoscopic transorbital surgery is still limited to some pioneering surgeons. We need to know the surrounding anatomical structures, detailed surgical techniques, optimal indication, limitations, and associated complications of this novel approach to promote this novel concept.
The endoscopic transorbital route to the skull base is increasing in popularity and a variety of different publications have recently emerged in the literature outlining the application of the approach in the surgical management of several different skull base pathologies and malignancies. Regardless of this attempt, there are lots of things to overcome the learning curve in this novel approach. We need to know the surrounding anatomical structures, detailed surgical techniques, optimal indication, limitations, and associated complications of this novel approach to promote this novel concept. Finally, we aim to determine whether the endoscopic transorbital approach could be an alternative and a safer route to access the skull base area.
Important Note: Manuscripts consisting solely of bioinformatics, computational analysis, or predictions of public databases which are not accompanied by validation (independent cohort or biological validation in vitro or in vivo) will not be accepted in any of the sections of Frontiers in Oncology.
The endoscopic transorbital approach to the anterior skull base is one of the most important emerging trends in neurosurgery. It is poised to join the endonasal endoscopic approach as a major tool for minimally invasive access to lesions in the anterior skull base. Arising from a collaboration between oculoplastic, ENT surgeons, and neurosurgeons, the endoscopic transorbital approach provides access to areas in the lateral skull base that are inaccessible to the endonasal approach, such as the cavernous sinus, Meckel’s cave, and the sphenoid wing.
Minimally invasive surgery to the skull base has been considered a cornerstone in the skull base field. It is imperative to avoid excessive brain retraction as well as cosmetic issues. Endoscopic endonasal surgery has achieved a distinguished goal for a minimally invasive access to the deep skull base tumors. However, it remains challenging for an endonasal approach to access the lateral skull base tumors involving middle cranial fossa, cavernous sinus, and temporal lobes. Recently, endoscopic transorbital surgery has emerged as a candidate to overcome these limitations. However, the experience of endoscopic transorbital surgery is still limited to some pioneering surgeons. We need to know the surrounding anatomical structures, detailed surgical techniques, optimal indication, limitations, and associated complications of this novel approach to promote this novel concept.
The endoscopic transorbital route to the skull base is increasing in popularity and a variety of different publications have recently emerged in the literature outlining the application of the approach in the surgical management of several different skull base pathologies and malignancies. Regardless of this attempt, there are lots of things to overcome the learning curve in this novel approach. We need to know the surrounding anatomical structures, detailed surgical techniques, optimal indication, limitations, and associated complications of this novel approach to promote this novel concept. Finally, we aim to determine whether the endoscopic transorbital approach could be an alternative and a safer route to access the skull base area.
Important Note: Manuscripts consisting solely of bioinformatics, computational analysis, or predictions of public databases which are not accompanied by validation (independent cohort or biological validation in vitro or in vivo) will not be accepted in any of the sections of Frontiers in Oncology.
