Extradural and intradural microsurgical approaches to lesions of the optic canal and the superior orbital fissure

Within 3 years, 34 patients with lesions of the posterior part of the orbit, the optic canal, and the superior orbital fissure were operated using different surgical approaches. The results on the functional and cosmetic outcomes were compiled. The pterional approach was shown to be the most useful...

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Bibliographic Details
Published in:Acta neurochirurgica 1985-01, Vol.74 (3-4), p.87-93
Main Authors: HASSLER, W, EGGERT, H. R
Format: Article
Language:English
Subjects:
Adult
Aged
Biological and medical sciences
Dura Mater - surgery
Female
Humans
Male
Medical sciences
Meningeal Neoplasms - surgery
Meningioma - surgery
Microsurgery - methods
Middle Aged
Nerve Compression Syndromes - surgery
Ophthalmology
Optic Nerve Diseases - diagnostic imaging
Optic Nerve Diseases - surgery
Orbit - surgery
Orbit diseases
Orbital Diseases - diagnostic imaging
Orbital Diseases - surgery
Orbital Neoplasms - surgery
Postoperative Complications - diagnostic imaging
Skull Neoplasms - surgery
Sphenoid Bone - surgery
Tomography, X-Ray Computed
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Summary:Within 3 years, 34 patients with lesions of the posterior part of the orbit, the optic canal, and the superior orbital fissure were operated using different surgical approaches. The results on the functional and cosmetic outcomes were compiled. The pterional approach was shown to be the most useful one. It can be used in intradural as well as in extradural and combined operations. It allows an excellent view of basal cerebral structures as well as the frontal base of the skull. The operative results are dependent on the type and the location of the lesion, and, especially in meningiomas, on their relationship to the cavernous sinus.
ISSN:0001-6268
0942-0940
DOI:10.1007/BF01418794