Simultaneous two-team transorbital neuroendoscopic approach for sphenoid wing meningioma

Journal of the Colleges of Medicine of South Africa

 
 
Field Value
 
Title Simultaneous two-team transorbital neuroendoscopic approach for sphenoid wing meningioma
 
Creator Deschuytere, Lien Beneke, Estelle De John, Byron Lubbe, Darlene
 
Subject otorhinolaryngology; rhinology; neurosurgery rhinology; endoscopic sinus surgery; skull base surgery; anterior skull base; neurosurgery; ophthalmology; meningioma; skull base lesions
Description Background: Surgery for skull base lesions is often time-consuming. In this research, we aimed to improve the efficiency of transorbital neuroendoscopic surgery (TONES) for skull base lesions, specifically sphenoid wing meningiomas, by reducing operative time without compromising patient safety or surgical outcomes.
Methods: A simultaneous two-team surgical approach was developed, combining medial endonasal and lateral transorbital techniques. One team performed medial endonasal optic canal decompression, while the other conducted a lateral transorbital middle cranial fossa approach through a superior eyelid incision. Teams worked concurrently, pausing only during critical stages of medial optic nerve decompression to prevent interference.
Results: The two-team approach demonstrated a significant reduction in operative time compared to sequential techniques. This method allowed for a comprehensive tumour resection and optic nerve decompression within a single procedure, achieving minimal morbidity and a rapid recovery for patients.
Conclusion: The simultaneous two-team approach enhances the efficiency of TONES for sphenoid wing meningiomas and similar skull base lesions.
Contribution: This technique offers a practical and safe solution to streamline complex multiportal surgeries while maintaining optimal clinical outcomes.
 
Publisher AOSIS
 
Contributor
Date 2025-07-25
 
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — —
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/jcmsa.v3i1.224
 
Source Journal of the Colleges of Medicine of South Africa; Vol 3, No 1 (2025); 5 pages 2960-110X 3105-4331
 
Language eng
 
Relation
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:

https://jcmsa.org.za/index.php/jcmsa/article/view/224/650 https://jcmsa.org.za/index.php/jcmsa/article/view/224/651 https://jcmsa.org.za/index.php/jcmsa/article/view/224/652 https://jcmsa.org.za/index.php/jcmsa/article/view/224/653
 
Coverage Africa; South Africa; Western Cape; Cape Town 2024 —
Rights Copyright (c) 2025 Lien Deschuytere, Estelle Beneke, Byron De John, Darlene Lubbe https://creativecommons.org/licenses/by/4.0
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