Modified orbitofrontal approach for optic nerve sheath hemangioma: Illustrative case and literature review

Surgical Neurology International, Journal Year: 2025, Volume and Issue: 16, P. 35 - 35

Published: Feb. 7, 2025

Optic nerve sheath hemangiomas (ONSHs) are rare vascular tumors from the blood vessels surrounding optic nerve, accounting for <1% of and 0.5% malformations. Although benign, their location near poses a risk significant damage vision loss. Symptoms often include visual disturbances, eye pain, strabismus, making it difficult to make diagnosis. Advances in imaging, especially magnetic resonance imaging (MRI), have improved early detection In addition, insights into molecular mechanisms, including endothelial signaling angiogenesis, facilitated development more effective treatments, such as targeted therapies minimally invasive surgical options. We present case 57-year-old woman who experienced progressive left-eye swelling, increased tearing, declining acuity. Imaging studies, MRI computed tomography scans, revealed left intraconal mass suggestive ONSH. A transcranial-modified orbitofrontal approach was employed tumor resection due its proximity vital structures. Postoperative histopathology confirmed hemangioma. At 1-year follow-up, patient exhibited improvement function resolution orbital swelling. This highlights critical role intervention managing ONSHs that threaten cause effects. The proved providing optimal access safe improving outcomes. Integrating advanced techniques intraoperative monitoring contributes significantly enhancing prognosis ONSH cases.

Language: Английский

Endoscopic transnasal prelacrimal recess approach via the orbital floor to the infraorbital region: an anatomical study

European Archives of Oto-Rhino-Laryngology, Journal Year: 2024, Volume and Issue: unknown

Published: Sept. 16, 2024

The aim of this study is to describe the maximum exposure infraorbital region via orbital floor using transnasal prelacrimal recess approach (PLRA), and provide an anatomical basis for treating lesions in region.

Language: Английский