Endoscopic transventral natural corridors resection for lateral skull base lesions
Objective To evaluate the clinical application of endoscopic transorbital and transoral approaches for lateral skull base lesion resection. Methods and Results A retrospective analysis was conducted on 17 patients undergoing endoscopic transorbital or transoral lateral skull base surgery at General...
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Tianjin Huanhu Hospital
2025-04-01
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| Series: | Chinese Journal of Contemporary Neurology and Neurosurgery |
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| Online Access: | http://www.cjcnn.org/index.php/cjcnn/article/view/3023 |
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| author | CONG Zi⁃xiang ZENG Xin⁃rui ZHU Jun⁃hao YANG Jin MA Chi⁃yuan |
| author_facet | CONG Zi⁃xiang ZENG Xin⁃rui ZHU Jun⁃hao YANG Jin MA Chi⁃yuan |
| author_sort | CONG Zi⁃xiang |
| collection | DOAJ |
| description | Objective To evaluate the clinical application of endoscopic transorbital and transoral approaches for lateral skull base lesion resection. Methods and Results A retrospective analysis was conducted on 17 patients undergoing endoscopic transorbital or transoral lateral skull base surgery at General Hospital of Eastern Theater Command from June 2021 to September 2024. Eight cases underwent endoscopic transorbital approach surgery, with lesions mainly located in the orbit, lateral orbital apex or spheno⁃orbital region. Seven cases underwent gross total resection, and one case underwent subtotal resection; postoperative exophthalmos all relieved (4/4), improvement of vision and ocular motility disorders occurred in 4 cases (4/7) and 2 cases (2/4) respectively. There were no postoperative complications such as bleeding, new developed neurological dysfunction, cerebrospinal fluid leakage, intracranial infection, etc., but all patients had significant swelling around the eyelids, which subsided on its own after about 7 d. Nine cases underwent endoscopic transoral approach surgery for lesions in the pterygopalatine fossa, infratemporal fossa, or anterior region of Meckel cave, with gross total resection in 7 cases and subtotal resection in 2 cases; facial numbness improved in 4 cases (4/6) after surgery; no surgery ⁃ related complications were observed. One patient with subtotal resection showed tumor progression 3 months after surgery. Conclusions Endoscopic transorbital and transoral approaches are minimally invasive techniques utilizing ventral natural corridors. They provide effective options for specific skull base regions, expanding the armamentarium of endoscopic skull base surgery. |
| format | Article |
| id | doaj-art-84b642dca03e4ac49c4b8254ffc37852 |
| institution | OA Journals |
| issn | 1672-6731 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Tianjin Huanhu Hospital |
| record_format | Article |
| series | Chinese Journal of Contemporary Neurology and Neurosurgery |
| spelling | doaj-art-84b642dca03e4ac49c4b8254ffc378522025-08-20T01:54:57ZengTianjin Huanhu HospitalChinese Journal of Contemporary Neurology and Neurosurgery1672-67312025-04-0125428128510.3969/j.issn.1672⁃6731.2025.04.003Endoscopic transventral natural corridors resection for lateral skull base lesionsCONG Zi⁃xiang0ZENG Xin⁃rui1ZHU Jun⁃hao2YANG Jin3MA Chi⁃yuan4Department of Neurosurgery, General Hospital of Eastern Theater Command, Nanjing 210002, Jiangsu, ChinaGrade 2022, School of Medicine, Southeast University, Nanjing 210009, Jiangsu, ChinaDepartment of Neurosurgery, General Hospital of Eastern Theater Command, Nanjing 210002, Jiangsu, ChinaDepartment of Neurosurgery, General Hospital of Eastern Theater Command, Nanjing 210002, Jiangsu, ChinaDepartment of Neurosurgery, General Hospital of Eastern Theater Command, Nanjing 210002, Jiangsu, ChinaObjective To evaluate the clinical application of endoscopic transorbital and transoral approaches for lateral skull base lesion resection. Methods and Results A retrospective analysis was conducted on 17 patients undergoing endoscopic transorbital or transoral lateral skull base surgery at General Hospital of Eastern Theater Command from June 2021 to September 2024. Eight cases underwent endoscopic transorbital approach surgery, with lesions mainly located in the orbit, lateral orbital apex or spheno⁃orbital region. Seven cases underwent gross total resection, and one case underwent subtotal resection; postoperative exophthalmos all relieved (4/4), improvement of vision and ocular motility disorders occurred in 4 cases (4/7) and 2 cases (2/4) respectively. There were no postoperative complications such as bleeding, new developed neurological dysfunction, cerebrospinal fluid leakage, intracranial infection, etc., but all patients had significant swelling around the eyelids, which subsided on its own after about 7 d. Nine cases underwent endoscopic transoral approach surgery for lesions in the pterygopalatine fossa, infratemporal fossa, or anterior region of Meckel cave, with gross total resection in 7 cases and subtotal resection in 2 cases; facial numbness improved in 4 cases (4/6) after surgery; no surgery ⁃ related complications were observed. One patient with subtotal resection showed tumor progression 3 months after surgery. Conclusions Endoscopic transorbital and transoral approaches are minimally invasive techniques utilizing ventral natural corridors. They provide effective options for specific skull base regions, expanding the armamentarium of endoscopic skull base surgery.http://www.cjcnn.org/index.php/cjcnn/article/view/3023skull basebrain diseasesnatural orifice endoscopic surgeryorbitmouthneurosurgical procedures |
| spellingShingle | CONG Zi⁃xiang ZENG Xin⁃rui ZHU Jun⁃hao YANG Jin MA Chi⁃yuan Endoscopic transventral natural corridors resection for lateral skull base lesions Chinese Journal of Contemporary Neurology and Neurosurgery skull base brain diseases natural orifice endoscopic surgery orbit mouth neurosurgical procedures |
| title | Endoscopic transventral natural corridors resection for lateral skull base lesions |
| title_full | Endoscopic transventral natural corridors resection for lateral skull base lesions |
| title_fullStr | Endoscopic transventral natural corridors resection for lateral skull base lesions |
| title_full_unstemmed | Endoscopic transventral natural corridors resection for lateral skull base lesions |
| title_short | Endoscopic transventral natural corridors resection for lateral skull base lesions |
| title_sort | endoscopic transventral natural corridors resection for lateral skull base lesions |
| topic | skull base brain diseases natural orifice endoscopic surgery orbit mouth neurosurgical procedures |
| url | http://www.cjcnn.org/index.php/cjcnn/article/view/3023 |
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