ArticleNeurosurgical focus: Video2025
Transorbital eyebrow lacrimal keyhole approach for resection of a meningioma of the lateral wall of the cavernous sinus.
Article in Neurosurgical focus: Video, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- A Simple and Cost-Effective Retractor for Transorbital Neurosurgery: Technical Note and Application in Lacrimal Keyhole Approaches.Journal of clinical medicine · 2026Article
- Endoscope-assisted Transmastoid Infralabyrinthine approach to the petrous apex: A new corridor for multicompartmental jugular foramen tumors.Brain & spine · 2026Article
- Trans orbital eyebrow approach for selective resections in mesial temporal lobe epilepsy: Technical aspects and preliminary case series.Brain & spine · 2026Article
- Lateral transorbital neuroendoscopic approach using the superior eyelid incision: A straightforward, comprehensive, and illustrative step-by-step review.Surgical neurology international · 2025Article
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The transorbital approach has emerged as a minimally invasive technique in neurosurgery. The authors present the case of a meningioma of the lateral wall of the cavernous sinus treated with a transorbital eyebrow lacrimal keyhole approach (TELKA) in a 64-year-old man with partial seizures. By removing the lip of the superolateral orbital rim, the so-called lacrimal keyhole, via an eyebrow incision, optimal microscopic and endoscopic visualization and maneuverability were achieved, avoiding dangerous ocular globe retraction. Together with the chopstick technique using angled endoscopes and malleable rotative suction, TELKA allowed a safe and effective resection minimizing soft tissue dissection, brain manipulation, and ocular retraction. The video can be found here: https://stream.cadmore.media/r10.3171/2025.1.FOCVID24190.
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