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穿越眼眶及更远：代表欧洲神经外科协会眼眶肿瘤前沿委员会及欧洲神经外科协会颅底分会的内镜眼眶手术现状与未来展望

Through the orbit and beyond: Current state and future perspectives in endoscopic orbital surgery on behalf of the EANS frontiers committee in orbital tumors and the EANS skull base section.

作者信息

Zoia C, Mantovani G, Müther M, Suero Molina E, Scerrati A, De Bonis P, Cornelius J F, Roche P H, Tatagiba M, Jouanneau E, Manet R, Schroeder H W S, Cavallo L M, Kasper E M, Meling T R, Mazzatenta D, Daniel R T, Messerer M, Visocchi M, Froelich S, Bruneau M, Spena G

机构信息

UOC Neurochirurgia, Ospedale Moriggia Pelascini, Gravedona e Uniti, Italy.

Neurosurgery Unit, Department of Translational Medicine, University of Ferrara, Ferrara, Italy.

出版信息

Brain Spine. 2023 Aug 28;3:102669. doi: 10.1016/j.bas.2023.102669. eCollection 2023.

DOI:10.1016/j.bas.2023.102669
PMID:37720459
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10500473/
Abstract

INTRODUCTION: Orbital surgery has always been disputed among specialists, mainly neurosurgeons, otorhinolaryngologists, maxillofacial surgeons and ophthalmologists. The orbit is a borderland between intra- and extracranial compartments; Krönlein's lateral orbitotomy and the orbitozygomatic infratemporal approach are the historical milestones of modern orbital-cranial surgery. RESEARCH QUESTION: Since its first implementation, endoscopy has significantly impacted neurosurgery, changing perspectives and approaches to the skull base. Since its first application in 2009, transorbital endoscopic surgery opened the way for new surgical scenario, previously feasible only with extensive tissue dissection. MATERIAL AND METHODS: A PRISMA based literature search was performed to select the most relevant papers on the topic. RESULTS: Here, we provide a narrative review on the current state and future trends in endoscopic orbital surgery. DISCUSSION AND CONCLUSION: This manuscript is a joint effort of the EANS frontiers committee in orbital tumors and the EANS skull base section.

摘要

引言：眼眶手术在专科医生中一直存在争议，主要涉及神经外科医生、耳鼻喉科医生、颌面外科医生和眼科医生。眼眶是颅内和颅外腔隙之间的交界区域；克伦莱因外侧眶切开术和眶颧颞下入路是现代眼眶颅底手术的历史里程碑。 研究问题：自首次实施以来，内镜技术对神经外科产生了重大影响，改变了对颅底的看法和手术方法。自2009年首次应用以来，经眶内镜手术为新的手术场景开辟了道路，此前只有通过广泛的组织解剖才能实现。 材料与方法：进行了基于PRISMA的文献检索，以选择该主题最相关的论文。 结果：在此，我们对内窥镜眼眶手术的现状和未来趋势进行了叙述性综述。 讨论与结论：本手稿是欧洲神经外科协会眼眶肿瘤前沿委员会和欧洲神经外科协会颅底分会共同努力的成果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c3a/10500473/135f636e3ce4/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c3a/10500473/71845b05c99f/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c3a/10500473/e84410516be2/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c3a/10500473/135f636e3ce4/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c3a/10500473/71845b05c99f/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c3a/10500473/e84410516be2/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c3a/10500473/135f636e3ce4/gr3.jpg

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Through the orbit and beyond: Current state and future perspectives in endoscopic orbital surgery on behalf of the EANS frontiers committee in orbital tumors and the EANS skull base section.

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引用本文的文献

[1]
Surgical management and postoperative outcomes of orbital cavernous malformations: A systematic literature review by the EANS skull base section.

Brain Spine. 2025-6-22

[2]
Lateral Transorbital Approach for Lateral Sphenoid Defects: Anatomy, Surgery, Nasoseptal Flap Use, and a 4-Case Series.

Laryngoscope Investig Otolaryngol. 2025-3-7

[3]
The Transorbital Approach: A Comprehensive Review of Targets, Surgical Techniques, and Multiportal Variants.

J Clin Med. 2024-5-5

[4]
Transorbital approach to the cavernous sinus: an anatomical study of the related cranial nerves.

Front Neuroanat. 2024-4-17

[5]
Revitalizing neurosurgical frontiers: The EANS frontiers in neurosurgery committee's strategic framework.

Brain Spine. 2024-3-26

[6]
Endoscopic approaches to the orbit: Transnasal and transorbital, a retrospective case series.

Brain Spine. 2024-2-19

本文引用的文献

[1]
Endoscopic Transorbital Approach for the Management of Spheno-Orbital Meningiomas: Literature Review and Preliminary Experience.

World Neurosurg. 2023-8

[2]
Endoscopic transorbital approach for skull base lesions: a report of 16 clinical cases.

Neurosurg Rev. 2023-3-22

[3]
Superior eyelid endoscopic transorbital approach to the tentorial area: A qualitative and quantitative anatomic study.

Front Surg. 2022-10-21

[4]
Eyebrow incision with a crescent-shaped orbital rim craniotomy for microscopic and endoscopic transorbital approach to the anterior and middle cranial fossa: A cadaveric study and case presentation.

Brain Spine. 2022-4-28

[5]
Endoscopic transorbital avenue to the skull base: Four-step conceptual analysis of the anatomic journey.

Front Oncol. 2022-9-2

[6]
Development of 3-dimensional printed simulation surgical training models for endoscopic endonasal and transorbital surgery.

Front Oncol. 2022-8-5

[7]
History of Virtual Reality and Augmented Reality in Neurosurgical Training.

World Neurosurg. 2022-11

[8]
Endoscopic-assisted transorbital surgery: Where do we stand on the scott's parabola? personal considerations after a 10-year experience.

Front Oncol. 2022-7-15

[9]
Virtual-Augmented Reality and Life-Like Neurosurgical Simulator for Training: First Evaluation of a Hands-On Experience for Residents.

Front Surg. 2022-5-19

[10]
Endoscopic transorbital surgery levels of difficulty.

J Neurosurg. 2022-4-15

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