Endoscopic transorbital and transcranial multiportal resection of a sphenoorbital meningiomas with custom bone 3D printing reconstruction: Case report.
Head Neck
; 46(2): E18-E25, 2024 Feb.
Article
em En
| MEDLINE
| ID: mdl-37994687
ABSTRACT
BACKGROUND:
Sphenoorbital meningiomas (SOM) harbor intrinsic features that render their surgical management and the reconstruction of the resulting bony defect overtly challenging.METHODS:
A 70-year-old woman, harboring a long-standing left frontotemporal bony swelling conservatively managed, presented with progressive left proptosis. Radiological features were consistent with an en plaque SOM. A one-step multiportal transcranial and endoscopic transorbital approach (TOA) with custom bone three-dimensional (3D) printing reconstruction using polymethylmethacrylate (PMMA) was scheduled.RESULTS:
Postoperative functional and aesthetic results were excellent, with proptosis and calvarian deformity resolution. Tumor subtotal resection was achieved. Histopathological diagnosis confirmed a transitional meningioma (WHO grade I).CONCLUSIONS:
The endoscopic TOA, isolated or as part of a multiportal strategy, has entered the surgical armamentarium for the treatment of SOMs. A customized PMMA cranioplasty can be considered a possible option for the reconstruction of large bony defects in a one-step fashion.Palavras-chave
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Exoftalmia
/
Neoplasias da Base do Crânio
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Neoplasias Meníngeas
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Meningioma
Idioma:
En
Ano de publicação:
2024
Tipo de documento:
Article