Evidence map›Paper›PMID 33479806›Full record

SynthesisNeurosurgical review2021

Transorbital endoscopic approaches to the skull base: a systematic literature review and anatomical description.

Alperen Vural, Andrea Luigi Camillo Carobbio, Marco Ferrari, Vittorio Rampinelli, Alberto Schreiber, Davide Mattavelli, Francesco Doglietto, Barbara Buffoli, Luigi Fabrizio Rodella, Stefano Taboni and 5 more

Erratum issuedAbstract readSystematic Review
In one paragraph

Synthesis in Neurosurgical review, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 44 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

44 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors.

Alperen VuralDepartment of Otorhinolaryngology, Erciyes University Faculty of Medicine, 38039, Kayseri, Turkey. alperenvural@yahoo.com.ORCID http://orcid.org/0000-0003-1969-7760
Andrea Luigi Camillo CarobbioDepartment of Otorhinolaryngology, Erciyes University Faculty of Medicine, 38039, Kayseri, Turkey.ORCID https://orcid.org/0000-0002-0919-971X
Marco FerrariUnit of Otorhinolaryngology - Head and Neck Surgery, Department of Medical and Surgical Specialties, Radiological Sciences, and Public Health, University of Brescia, Piazzale Spedali Civili 1, 25123, Brescia, Italy.ORCID https://orcid.org/0000-0002-3310-7715
Vittorio RampinelliUnit of Otorhinolaryngology - Head and Neck Surgery, Department of Medical and Surgical Specialties, Radiological Sciences, and Public Health, University of Brescia, Piazzale Spedali Civili 1, 25123, Brescia, Italy.ORCID https://orcid.org/0000-0002-0901-6266
Alberto SchreiberUnit of Otorhinolaryngology - Head and Neck Surgery, Department of Medical and Surgical Specialties, Radiological Sciences, and Public Health, University of Brescia, Piazzale Spedali Civili 1, 25123, Brescia, Italy.ORCID https://orcid.org/0000-0002-1580-3928
Davide MattavelliUnit of Otorhinolaryngology - Head and Neck Surgery, Department of Medical and Surgical Specialties, Radiological Sciences, and Public Health, University of Brescia, Piazzale Spedali Civili 1, 25123, Brescia, Italy.ORCID https://orcid.org/0000-0001-7023-6746
Francesco DogliettoUnit of Neurosurgery, Department of Medical and Surgical Specialties, Radiological Sciences, and Public Health, University of Brescia, Brescia, Italy.ORCID https://orcid.org/0000-0002-7438-0734
Barbara BuffoliSection of Anatomy and Physiopathology, Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy.ORCID https://orcid.org/0000-0002-8531-7730
Luigi Fabrizio RodellaSection of Anatomy and Physiopathology, Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy.ORCID https://orcid.org/0000-0002-9497-4708
Stefano TaboniUnit of Otorhinolaryngology - Head and Neck Surgery, Department of Medical and Surgical Specialties, Radiological Sciences, and Public Health, University of Brescia, Piazzale Spedali Civili 1, 25123, Brescia, Italy.ORCID https://orcid.org/0000-0003-2407-4031
Michele TomasoniUnit of Otorhinolaryngology - Head and Neck Surgery, Department of Medical and Surgical Specialties, Radiological Sciences, and Public Health, University of Brescia, Piazzale Spedali Civili 1, 25123, Brescia, Italy.ORCID https://orcid.org/0000-0003-1298-1654
Tommaso GualtieriUnit of Otorhinolaryngology - Head and Neck Surgery, Department of Medical and Surgical Specialties, Radiological Sciences, and Public Health, University of Brescia, Piazzale Spedali Civili 1, 25123, Brescia, Italy.ORCID https://orcid.org/0000-0002-5080-0212
Alberto DeganelloUnit of Otorhinolaryngology - Head and Neck Surgery, Department of Medical and Surgical Specialties, Radiological Sciences, and Public Health, University of Brescia, Piazzale Spedali Civili 1, 25123, Brescia, Italy.ORCID https://orcid.org/0000-0003-1008-7333
Lena HirtlerDivision of Anatomy, Center for Anatomy and Cell Biology, Medical University of Vienna, Vienna, Austria.ORCID https://orcid.org/0000-0001-5194-9118
Piero NicolaiSection of Otorhinolaryngology - Head and Neck Surgery, Department of Neurosciences, University of Padua, Padua, Italy.ORCID https://orcid.org/0000-0003-0443-3519

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Transorbital endoscopic approaches are increasing in popularity as they provide corridors to reach various areas of the ventral skull base through the orbit. They can be used either alone or in combination with different approaches when dealing with the pathologies of the skull base. The objective of the current study is to evaluate the surgical anatomy of transorbital endoscopic approaches by cadaver dissections as well as providing objective clinical data on their actual employment and morbidity through a systematic review of the current literature. Four cadaveric specimens were dissected, and step-by-step dissection of each endoscopic transorbital approach was performed to identify the main anatomic landmarks and corridors. A systematic review with pooled analysis of the current literature from January 2000 to April 2020 was performed and the related studies were analyzed. Main anatomical landmarks are presented based on the anatomical study and systematic review of the literature. With emphasis on the specific transorbital approach used, indications, surgical technique, and complications are reviewed through the systematic review of 42 studies (19 in vivo and 23 anatomical dissections) including 193 patients. In conclusion, transorbital endoscopic approaches are promising and appear as feasible techniques for the surgical treatment of skull base lesions. Surgical anatomy of transorbital endoscopic approaches can be mastered through knowledge of a number of anatomical landmarks. Based on data available in the literature, transorbital endoscopic approaches represent an important complementary that should be included in the armamentarium of a skull base team.

Indexed as

EndoscopySkull BaseCadaverDissectionHumansOrbitEndoscopy, Neuroendoscopy, Transorbital, Orbit, Skull base

Identifiers

PMID33479806
PMCPMC8490260

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.