Evidence map›Paper›PMID 37760405›Full record

ArticleCancers2023

Surgical Anatomy of the Microscopic and Endoscopic Transorbital Approach to the Middle Fossa and Cavernous Sinus: Anatomo-Radiological Study with Clinical Applications.

Simona Serioli, Mariagrazia Nizzola, Pedro Plou, Alessandro De Bonis, Jenna Meyer, Luciano C P C Leonel, Andrea A Tooley, Lilly H Wagner, Elizabeth A Bradley, Jamie J Van Gompel and 3 more

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Cancers, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
3.4field-weighted citation impact, top 7% of its field
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

9 citing papers in PubMed, 16 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 3 institutions in 3 countries.

Simona SerioliDivision of Neurosurgery, Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, 25123 Brescia, Italy.
Mariagrazia NizzolaRhoton Neurosurgery and Otolaryngology Surgical Anatomy Program, Mayo Clinic, Rochester, MN 55905, USA.
Pedro PlouRhoton Neurosurgery and Otolaryngology Surgical Anatomy Program, Mayo Clinic, Rochester, MN 55905, USA.
Alessandro De BonisRhoton Neurosurgery and Otolaryngology Surgical Anatomy Program, Mayo Clinic, Rochester, MN 55905, USA.
Jenna MeyerRhoton Neurosurgery and Otolaryngology Surgical Anatomy Program, Mayo Clinic, Rochester, MN 55905, USA.
Luciano C P C LeonelRhoton Neurosurgery and Otolaryngology Surgical Anatomy Program, Mayo Clinic, Rochester, MN 55905, USA.
Andrea A TooleyDepartment of Ophthalmology, Mayo Clinic, Rochester, MN 55905, USA.
Lilly H WagnerDepartment of Ophthalmology, Mayo Clinic, Rochester, MN 55905, USA.
Elizabeth A BradleyDepartment of Ophthalmology, Mayo Clinic, Rochester, MN 55905, USA.
Jamie J Van GompelDepartment of Neurologic Surgery, Mayo Clinic, Rochester, MN 55905, USA.ORCID 0000-0001-8087-7870
Maria Elena BeniniDepartment of Neurosurgery-Head and Neck Surgery, Azienda Ospedaliero-Universitaria Pisana, 56126 Pisa, Italy.
Iacopo DallanDepartment of Otolaryngology-Head and Neck Surgery, Azienda Ospedaliero-Universitaria Pisana, 56126 Pisa, Italy.
Maria Peris-CeldaRhoton Neurosurgery and Otolaryngology Surgical Anatomy Program, Mayo Clinic, Rochester, MN 55905, USA.
Mayo Clinic · USAzienda Ospedaliera Universitaria Pisana · ITMayo Clinic in Arizona · US

Funding

Charles B. and Ann L. Johnson Endowed Professorship in Neurosurgery Department, Mayo Clinic, Rochester Minnesota. n.a.Fondazione Beretta n.a.Joseph and Barbara Ashkins Endowed Professorship in Surgery and the Radiology Department n.a.
6 · The paper itself

Abstract

backgroundThe transorbital approaches (TOAs) have acquired growing notoriety, thanks to their ability to offer alternative corridors to the skull base. However, the limited access and the unfamiliarity with this surgical perspective make recognition of key landmarks difficult, especially for less experienced surgeons. The study wants to offer a detailed description of the anatomy to comprehend the potential and limitations of TOAs.

methodsMeasurements of the orbit region and the surrounding areas were performed on two hundred high-resolution CT scans and thirty-nine dry skulls. Five specimens were dissected to illustrate the TOA, and one was used to perform the extradural clinoidectomy. Three clinical cases highlighted the surgical applications.

resultsA step-by-step description of the key steps of the TOA was proposed and a comparison with the transcranial anterior clinoidectomy was discussed. The mean work distance was 6.1 ± 0.4 cm, and the lateral working angle increased 20 ± 5.4° after removing the lateral orbital rim.

conclusionsTOAs are indicated in selected cases when tumor involves the lateral portion of the cavernous sinus or the middle skull base, obtaining a direct decompression of the optic nerve and avoiding excessive manipulation of the neurovascular structures. Comprehension of surgical anatomy of the orbit and its surrounding structures is essential to safely perform these approaches.

Indexed as

anatomyanterior cranial fossaendoscopymicroscopemiddle cranial fossaskull basetransorbital approach

Identifiers

PMID37760405
PMCPMC10527149
OpenAlexW4386484776

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.