Endoscopic transorbital and transcranial multiportal resection of a sphenoorbital meningiomas with custom bone 3D printing reconstruction: Case report
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, present...
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| Veröffentlicht in: | Head & neck 2024-02, Vol.46 (2), p.E18-E25 |
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| creator | d'Avella, Elena Somma, Teresa Fabozzi, Gianluca Lorenzo Committeri, Umberto Romano, Antonio Cappabianca, Paolo Cavallo, Luigi Maria |
| description | 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. |
| doi_str_mv | 10.1002/hed.27582 |
| format | Article |
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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.</description><identifier>ISSN: 1043-3074</identifier><identifier>ISSN: 1097-0347</identifier><identifier>EISSN: 1097-0347</identifier><identifier>DOI: 10.1002/hed.27582</identifier><identifier>PMID: 37994687</identifier><language>eng</language><publisher>Hoboken, USA: John Wiley & Sons, Inc</publisher><subject>Aged ; Brain cancer ; endoscopic transorbital ; Exophthalmos ; Female ; Humans ; Meningeal Neoplasms - diagnostic imaging ; Meningeal Neoplasms - surgery ; Meningioma ; Meningioma - diagnostic imaging ; Meningioma - pathology ; Meningioma - surgery ; multiportal ; Polymethyl Methacrylate ; Polymethylmethacrylate ; Printing, Three-Dimensional ; Skull ; Skull Base Neoplasms - surgery ; sphenoorbital meningioma ; three‐dimensional printing ; transcranial ; Treatment Outcome</subject><ispartof>Head & neck, 2024-02, Vol.46 (2), p.E18-E25</ispartof><rights>2023 Wiley Periodicals LLC.</rights><rights>2024 Wiley Periodicals LLC.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c3132-f3e7f01952d751c5d1995b5025108544d2159407ce3cc2a04211b1249c0691ae3</cites><orcidid>0009-0009-2660-771X ; 0000-0002-9978-0718</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fhed.27582$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fhed.27582$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37994687$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>d'Avella, Elena</creatorcontrib><creatorcontrib>Somma, Teresa</creatorcontrib><creatorcontrib>Fabozzi, Gianluca Lorenzo</creatorcontrib><creatorcontrib>Committeri, Umberto</creatorcontrib><creatorcontrib>Romano, Antonio</creatorcontrib><creatorcontrib>Cappabianca, Paolo</creatorcontrib><creatorcontrib>Cavallo, Luigi Maria</creatorcontrib><title>Endoscopic transorbital and transcranial multiportal resection of a sphenoorbital meningiomas with custom bone 3D printing reconstruction: Case report</title><title>Head & neck</title><addtitle>Head Neck</addtitle><description>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.</description><subject>Aged</subject><subject>Brain cancer</subject><subject>endoscopic transorbital</subject><subject>Exophthalmos</subject><subject>Female</subject><subject>Humans</subject><subject>Meningeal Neoplasms - diagnostic imaging</subject><subject>Meningeal Neoplasms - surgery</subject><subject>Meningioma</subject><subject>Meningioma - diagnostic imaging</subject><subject>Meningioma - pathology</subject><subject>Meningioma - surgery</subject><subject>multiportal</subject><subject>Polymethyl Methacrylate</subject><subject>Polymethylmethacrylate</subject><subject>Printing, Three-Dimensional</subject><subject>Skull</subject><subject>Skull Base Neoplasms - surgery</subject><subject>sphenoorbital meningioma</subject><subject>three‐dimensional printing</subject><subject>transcranial</subject><subject>Treatment Outcome</subject><issn>1043-3074</issn><issn>1097-0347</issn><issn>1097-0347</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kU1v2yAAhtG0akm7HfYHJqRd2oNbPoPZrUqzplKlXbYzwhgvRDZ4gBX1j_T3ltTNZVIvgF4eHkAvAF8xusYIkZudba-J4DX5AJYYSVEhysTH45rRiiLBFuA8pT1CiK4Y-QQWVEjJVrVYgueNb0MyYXQG5qh9CrFxWfdQ-3YOTBlcCYapz24M8bgZbbImu-Bh6KCGadxZH04nB-ud_-vCoBM8uLyDZko5DLAJ3kJ6B8fofC5EsZjgU47Tq-oHXOtkS3i84zM463Sf7Je3-QL8-bn5vd5Wj7_uH9a3j5WhmJKqo1Z0CEtOWsGx4S2WkjccEY5RzRlrCeaSIWEsNYZoxAjGDSZMGrSSWFt6AS5n7xjDv8mmrAaXjO177W2YkiK1JJLxmsqCfv8P3Ycp-vI6RSSmVFAuaKGuZsrEkFK0nSrfHXR8UhipY1mqlKVeyyrstzfj1AwlPZGndgpwMwMH19un901qu7mblS_eVZ_g</recordid><startdate>202402</startdate><enddate>202402</enddate><creator>d'Avella, Elena</creator><creator>Somma, Teresa</creator><creator>Fabozzi, Gianluca Lorenzo</creator><creator>Committeri, Umberto</creator><creator>Romano, Antonio</creator><creator>Cappabianca, Paolo</creator><creator>Cavallo, Luigi Maria</creator><general>John Wiley & Sons, Inc</general><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7TK</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0009-0009-2660-771X</orcidid><orcidid>https://orcid.org/0000-0002-9978-0718</orcidid></search><sort><creationdate>202402</creationdate><title>Endoscopic transorbital and transcranial multiportal resection of a sphenoorbital meningiomas with custom bone 3D printing reconstruction: Case report</title><author>d'Avella, Elena ; Somma, Teresa ; Fabozzi, Gianluca Lorenzo ; Committeri, Umberto ; Romano, Antonio ; Cappabianca, Paolo ; Cavallo, Luigi Maria</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3132-f3e7f01952d751c5d1995b5025108544d2159407ce3cc2a04211b1249c0691ae3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Aged</topic><topic>Brain cancer</topic><topic>endoscopic transorbital</topic><topic>Exophthalmos</topic><topic>Female</topic><topic>Humans</topic><topic>Meningeal Neoplasms - diagnostic imaging</topic><topic>Meningeal Neoplasms - surgery</topic><topic>Meningioma</topic><topic>Meningioma - diagnostic imaging</topic><topic>Meningioma - pathology</topic><topic>Meningioma - surgery</topic><topic>multiportal</topic><topic>Polymethyl Methacrylate</topic><topic>Polymethylmethacrylate</topic><topic>Printing, Three-Dimensional</topic><topic>Skull</topic><topic>Skull Base Neoplasms - surgery</topic><topic>sphenoorbital meningioma</topic><topic>three‐dimensional printing</topic><topic>transcranial</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>d'Avella, Elena</creatorcontrib><creatorcontrib>Somma, Teresa</creatorcontrib><creatorcontrib>Fabozzi, Gianluca Lorenzo</creatorcontrib><creatorcontrib>Committeri, Umberto</creatorcontrib><creatorcontrib>Romano, Antonio</creatorcontrib><creatorcontrib>Cappabianca, Paolo</creatorcontrib><creatorcontrib>Cavallo, Luigi Maria</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Head & neck</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>d'Avella, Elena</au><au>Somma, Teresa</au><au>Fabozzi, Gianluca Lorenzo</au><au>Committeri, Umberto</au><au>Romano, Antonio</au><au>Cappabianca, Paolo</au><au>Cavallo, Luigi Maria</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Endoscopic transorbital and transcranial multiportal resection of a sphenoorbital meningiomas with custom bone 3D printing reconstruction: Case report</atitle><jtitle>Head & neck</jtitle><addtitle>Head Neck</addtitle><date>2024-02</date><risdate>2024</risdate><volume>46</volume><issue>2</issue><spage>E18</spage><epage>E25</epage><pages>E18-E25</pages><issn>1043-3074</issn><issn>1097-0347</issn><eissn>1097-0347</eissn><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.</abstract><cop>Hoboken, USA</cop><pub>John Wiley & Sons, Inc</pub><pmid>37994687</pmid><doi>10.1002/hed.27582</doi><tpages>8</tpages><orcidid>https://orcid.org/0009-0009-2660-771X</orcidid><orcidid>https://orcid.org/0000-0002-9978-0718</orcidid></addata></record> |
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| subjects | Aged Brain cancer endoscopic transorbital Exophthalmos Female Humans Meningeal Neoplasms - diagnostic imaging Meningeal Neoplasms - surgery Meningioma Meningioma - diagnostic imaging Meningioma - pathology Meningioma - surgery multiportal Polymethyl Methacrylate Polymethylmethacrylate Printing, Three-Dimensional Skull Skull Base Neoplasms - surgery sphenoorbital meningioma three‐dimensional printing transcranial Treatment Outcome |
| title | Endoscopic transorbital and transcranial multiportal resection of a sphenoorbital meningiomas with custom bone 3D printing reconstruction: Case report |
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