Pterional approach to the contralateral orbit.
Of a total of 80 operated intraorbital lesions, 2 were located in the posterior intraconal space, medial and inferior to the optic nerve. Because they were unfavorably located for standard surgical approaches, we operated via a contralateral pterional transsphenoidal-transethmoidal route. This technique provided excellent exposure and results in these two cases of intraorbital cavernous malformations. A brief description of the approach is presented.
Hassler
W E
WE
Department of Neurosurgery, Klinikum Kalkweg, Duisburg, Germany.
Meyer
B
B
Rohde
V
V
Unsöld
R
R
D000328:Adult; D005005:Ethmoid Sinus / Q000473:pathology / Q000601:surgery; D006392:Hemangioma, Cavernous / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D009918:Orbital Neoplasms / Q000175:diagnosis / Q000601:surgery*; D013101:Sphenoid Sinus / Q000473:pathology / Q000601:surgery; D014792:Visual Acuity / Q000502:physiology