Acta Neurochirurgica

, Volume 160, Issue 6, pp 1231–1233 | Cite as

Endoscopic transorbital surgery for spheno-orbital lesions: how I do it

  • Cesare Zoia
  • Daniele Bongetta
  • Paolo Gaetani
How I Do it - Neurosurgical Techniques



The endoscopic transorbital approach has been recently proposed for the surgical management of spheno-orbital lesions as an alternative to craniotomy surgeries.


We analyze the technical nuances and what we have changed as our experience increased after the first operations performed for 12 different spheno-orbital lesions.


The endoscopic transorbital approach is useful for the treatment of selected spheno-orbital lesions and could represent an interesting option in experienced hands. More studies are needed to fully understand its potentialities and limitations.


Endoscopic transorbital surgery Spheno-orbital lesion Neuroendoscopic transorbital surgery 


Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Supplementary material

701_2018_3529_MOESM1_ESM.m4v (92.6 mb)
Video 1 Endoscopic transorbital surgery for a fibromyxoid sarcoma of the supero-lateral wall of the left orbit (M4V 94844 kb)


  1. 1.
    Locatelli D, Pozzi F, Turri-Zanoni M, Battaglia P, Santi L, Dallan I, Castelnuovo P (2016) Transorbital endoscopic approaches to the skull base: current concepts and future perspectives. J Neurosurg Sci 60(4):514–525PubMedGoogle Scholar
  2. 2.
    Moe KS, Bergeron CM, Ellenbogen RG (2010) Transorbital neuroendoscopic surgery. Neurosurgery 67(3 Suppl Operative):ons16–ons28PubMedGoogle Scholar
  3. 3.
    Norris JL, Cleasby GW (1981) Endoscopic orbital surgery. Am J Ophthalmol 91(2):249–252CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag GmbH Austria, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Neurosurgery UnitIRCCS Fondazione Policlinico San MatteoPaviaItaly
  2. 2.VareseItaly
  3. 3.Department of Clinical-Surgical, Diagnostic and Pediatric SciencesUniversità degli Studi di PaviaPaviaItaly

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