Evidence map›Paper›PMID 41691074›Full record

ArticleActa neurochirurgica2026

Deciding when and when not to reconstruct the orbit: How I do it.

Jihad Abdelgadir, Jeffrey Nadel, Tanner J Zachem, William T Couldwell

Abstract readCase Reports
In one paragraph

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

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

4 authors.

Jihad AbdelgadirDepartment of Neurosurgery, Clinical Neurosciences Center, University of Utah, 175 N. Medical Drive East, Salt Lake City, UT, 84132, USA.ORCID http://orcid.org/0000-0002-2863-7762
Jeffrey NadelDepartment of Neurosurgery, Clinical Neurosciences Center, University of Utah, 175 N. Medical Drive East, Salt Lake City, UT, 84132, USA.ORCID http://orcid.org/0009-0004-5464-2508
Tanner J ZachemDepartment of Neurosurgery, Duke University, Durham, NC, USA.ORCID http://orcid.org/0000-0002-3129-1133
William T CouldwellDepartment of Neurosurgery, Clinical Neurosciences Center, University of Utah, 175 N. Medical Drive East, Salt Lake City, UT, 84132, USA. william.couldwell@hsc.utah.edu.ORCID http://orcid.org/0000-0002-0070-0053

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Deciding whether to reconstruct the orbit after combined transcranial and orbital surgery is uniquely challenging. Although frequently debated, upfront reconstruction is critical for lesions that have not caused bony remodeling, orbital wall hyperostosis, or periorbital tissue stiffening. A 50-year-old man developed pulsatile enophthalmos two years after planum sphenoidale meningioma resection. We detail the staged orbital reconstruction technique and discuss indications. Lesions not involving the orbital tissues themselves but compressing the orbit require orbital reconstruction to prevent delayed pulsatile enophthalmos. Additionally, even when upfront reconstruction is deferred, a delayed, staged approach can treat specific postoperative complications.

Indexed as

EnophthalmosMeningeal NeoplasmsMeningiomaOrbitPlastic Surgery ProceduresPostoperative ComplicationsHumansMaleMiddle AgedCranio-orbital junctionOrbit reconstructionTumor

Identifiers

PMID41691074
PMCPMC12909310

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.