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V031: ENDOSCOPIC TRANS-ORBITAL APPROACH WITH A MODIFIED LATERAL ORBITOTOMY FOR SPHENO-ORBITAL MENINGIOMA RESECTION
Kristen Marciniuk¹; Akshay Save¹; Carter Suryadevara¹; Hannah K Weiss¹; Stella Chung²; John G Golfinos¹; Donato Pacione¹; ¹Department of Neurosurgery, NYU Grossman School of Medicine, New York, New York, United States; ²Department of Ophthalmology, NYU Langone Health, New York, New York, United States

This video demonstrates an extended trans-orbital approach for the resection of a right spheno-orbital meningioma.  We utilized a modified lateral orbitotomy leaving the orbital rim in place connected to the temporalis muscle with osteotomies facilitating mobilization of the segment to achieve the desired lateral to medial operative trajectories.  This approach did not compromise the operative corridor or require a compensatory increase in globe retraction.  Reconstruction was simplified with improved cosmesis and decreased morbidity.

 

 

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