Efficacy of transorbital endoscopic neurosurgery for patients with sphenoid ridge meningiomas
LI Yao
WANG Miao
ZHU Zhu
Abstract：Objective To evaluate the clinical efficacy of transorbital endoscopic neurosurgery for patients with sphenoid ridge meningiomas.Methods A retrospective analysis was conducted on the clinical data of 17 patients with sphenoid ridge meningiomas who underwent transorbital endoscopic neurosurgery between September 2016 and December 2021.Results Seven patients(41.2%)achieved Simpson gradeⅠ/Ⅱresection,and the other 10 patients achieved Simpson gradeⅢresection.One week postoperatively,the Karnofsky Performance Scale(KPS)score[(86.6±7.0)]was significantly higher than preoperatively[(79.3±8.4),P=0.015].At three months postoperatively,the KPS score further improved to[(94.0±7.1),P<0.001].The modified Rankin Scale(mRS)score one week postoperatively[(1.2±1.0)]was significantly lower than preoperatively[(2.4±1.2),P=0.035].Postoperative complications included cerebrospinal fluid leakage in one case,ptosis in one case,and periorbital edema in three cases.The median follow-up duration was 15.9 months(range:6～43 months).No tumor recurrence or progression was observed during the follow-up period.Conclusion The transorbital approach provides direct access to the sphenoid bone,and transorbital endoscopic neurosurgery is a safe and effective method for resecting sphenoid ridge meningiomas.However,the indications for this approach should be carefully evaluated.
Keywords：Sphenoid ridge meningiomaTransorbital approachNeuroendoscopic surgeryClinical efficacy
Publication Date：2025-01-25
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 20-23 )