Evidence map›Paper›PMID 40894428›Full record

ArticleJournal of neurological surgery. Part B, Skull base2025

Innovative Orbital Periosteum Suturing Technique for Endoscopic Medial Orbital Wall Reconstruction.

Teppei Takeda, Scott Hardison, Kazuhiro Omura, Yudo Ishii, Ryosuke Mori, Adam J Kimple, Brent A Senior, Nobuyoshi Otori, Christine Klatt-Cromwell, Brian D Thorp

Abstract read
In one paragraph

Article in Journal of neurological surgery. Part B, Skull base, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Endoscopic Transnasal Approach for Deep Lateral Orbital Decompression: A Cadaver Study.Journal of neurological surgery. Part B, Skull base · 2026
    Article
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

10 authors.

Teppei TakedaDepartment of Otorhinolaryngology, The Jikei University School of Medicine, Tokyo, Japan.ORCID 0000-0002-7549-4856
Scott HardisonDepartment of Otolaryngology-Head and Neck Surgery, University of North Carolina, Chapel Hill, North Carolina, United States.
Kazuhiro OmuraDepartment of Otorhinolaryngology, The Jikei University School of Medicine, Tokyo, Japan.ORCID 0000-0002-4337-4745
Yudo IshiiDepartment of Neurosurgery, The Jikei University School of Medicine, Tokyo, Japan.
Ryosuke MoriDepartment of Neurosurgery, The Jikei University School of Medicine, Tokyo, Japan.
Adam J KimpleDepartment of Otolaryngology-Head and Neck Surgery, University of North Carolina, Chapel Hill, North Carolina, United States.
Brent A SeniorDepartment of Otolaryngology-Head and Neck Surgery, University of North Carolina, Chapel Hill, North Carolina, United States.
Nobuyoshi OtoriDepartment of Otorhinolaryngology, The Jikei University School of Medicine, Tokyo, Japan.
Christine Klatt-CromwellDepartment of Otolaryngology-Head and Neck Surgery, University of North Carolina, Chapel Hill, North Carolina, United States.
Brian D ThorpDepartment of Otolaryngology-Head and Neck Surgery, University of North Carolina, Chapel Hill, North Carolina, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Advances in endoscopic orbital surgery have sparked discussion regarding reconstructive procedures for medial orbital wall defects following tumor removal. This study describes an innovative orbital periosteal suturing technique that addresses the functional and aesthetic concerns created by orbital surgery. Objective: Comprehensive clinical evaluation of a novel orbital periosteal suturing technique for endoscopic medial orbital wall reconstruction. Methods: A retrospective chart review identified five patients who underwent endoscopic transnasal resection and subsequent orbital periosteal suturing for reconstruction. The surgical approach involved a binostril transseptal technique to create a broad surgical corridor. The postoperative follow-up was 13.4 ± 1.8 months. Results: In the five patients, the mean age was 47.6 ± 13.0 years and the lesions were predominantly distributed on the left side (60%). Reconstruction time with the orbital periosteal suture procedure averaged 47.2 ± 6.6 minutes, employing four to five stitches. No patients experienced short-term complications such as visual acuity defect, new or exacerbated diplopia, or cranial nerve palsy within 2 weeks, and no long-term complications such as enophthalmos or prolonged diplopia were observed. Conclusion: Orbital periosteal suturing is an effective and resource-efficient technique for endoscopic reconstruction of the medial orbital wall. Surgeons may consider this method among the available options for orbital reconstruction, representing a novel advancement in the field.

Indexed as

endoscopic reconstructionmedial orbital wall reconstructionorbital periosteal suturingorbital surgeryorbital tumor resectionskull base surgerysurgical technique

Identifiers

PMID40894428
PMCPMC12396872

What OpenQuestion holds

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Registered trials

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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.