Evidence map›Paper›PMID 41660321›Full record

ArticleSurgical neurology international2026

Transorbital neuro-endoscopic surgical resection of right orbital cyst and frontal sinus reconstruction.

Gardashkhan Karımzada, Royal Mehdiyev, Tabriz Mammadov, Demet Evleksiz, Adem Dogan, Mehmet Can Ezgu, Abuzer Güngör

Abstract readCase Reports
In one paragraph

Article in Surgical neurology international, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

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0 citing papers in PubMed.

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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

7 authors.

Gardashkhan KarımzadaDepartment of Neurosurgery, Hitit University, Erol Olçok Training and Research Hospital, Corum, Turkey.
Royal MehdiyevDepartment of Neurosurgery, Ege Hospital, Baku, Azerbaijan.
Tabriz MammadovDepartment of Ophthalmology, Central Military Hospital of the Armed Forces, Baku, Azerbaijan.
Demet EvleksizDepartment of Neurosurgery, Hitit University, Erol Olçok Training and Research Hospital, Corum, Turkey.
Adem DoganDepartment of Neurosurgery, ŞehitKamil State Hospital, Gaziantep, Turkey.
Mehmet Can EzguDepartment of Neurosurgery, University of Health Sciences, Gülhane Training and Research Hospital, Ankara, Turkey.
Abuzer GüngörDepartment of Neurosurgery, Istinye University, Istanbul, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: This video illustrates a minimally invasive neuroendoscopic transorbital technique used for the removal of a right orbital cyst accompanied by frontal sinus reconstruction. The approach enables a direct and efficient corridor to orbital and anterior skull base lesions, reducing the need for brain retraction while ensuring both functional and aesthetic benefits. Case Description: A 38-year-old male patient presented with progressive exophthalmos, double vision, and elevated intraocular pressure caused by a right orbital cyst. Radiological evaluation reveals a thick-walled cystic formation with hyperintense signal intensity on T1- and T2-weighted images. IV contrast-enhanced magnetic resonance ımaging was performed. No contrast enhancement was observed in the lesion. The lesion measures 35 × 30 × 26 mm and appears to be connected to the frontal sinus. Preoperative images showed that the lesion destroyed the frontal sinus and was connected to it. Eyebrow incision was preferred for intraoperative assessment of the frontal sinus to facilitate resection of the lesion within the frontal sinus and surgical maneuvers and reconstruction within the frontal sinus. Through a transorbital endoscopic route, the surgical team performed orbital rim drilling, complete cyst excision, and frontal sinus reconstruction using autologous fat graft material. Orbital rim drilling was performed at the orbital entrance within the skin incision margins, with the bone resection amount not exceeding 5 mm. The purpose of orbital rim drilling is to widen the endoscopic field of view and facilitate the maneuverability of surgical instruments. This did not cause any cosmetic problems. A 0° rigid endoscope and standard endoscopic endonasal surgical instruments were used. The postoperative period was uneventful, and the patient experienced immediate correction of exophthalmos. The histopathological evaluation was reported as an epidermoid cyst with hemorrhage. At the 4-week follow-up, eye movements and intraocular pressure were normal, and diplopia had completely resolved. Conclusion: The transorbital endoscopic approach represents a safe, efficient, and cosmetically favorable option for treating orbital cystic lesions. It provides excellent visualization of the surgical field with minimal invasiveness, allowing for rapid recovery and optimal cosmetic outcomes. This experience underlines the versatility and clinical usefulness of this technique in properly selected cases.

Indexed as

EndoscopicOrbitSkull baseTransorbital

Identifiers

PMID41660321
PMCPMC12875227

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