Article
Otorhinolaryngology
Lifeng Li, Nyall R. London, Daniel M. Prevedello, Ricardo L. Carrau
Summary: This study described a novel anatomical landmark, the orbito-pterygo-sphenoidal ligament (OPSL), as a useful guide for surgery in the pterygopalatine fossa and the inferior orbital fissure.
HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK
(2021)
Article
Surgery
Jianfeng Liu, Jianhui Zhao, Yibei Wang, Zhijun Wang, Rui Li, Zhongyan Chen, Yu Zhao, Jun Han, Dazhang Yang
Summary: In this study, the endoscopic anatomy of the orbital apex region was investigated, and a protocol for simultaneous endoscopic endonasal decompression of the optic canal, superior orbital fissure, and proper orbital apex (EEDCFA) was proposed for traumatic orbital apex syndrome (TOAS). The use of this protocol in two patients resulted in satisfactory recovery of extraocular mobility.
FRONTIERS IN SURGERY
(2022)
Article
Clinical Neurology
Michael T. Bounajem, Robert C. Rennert, Karol P. Budohoski, Mohammad Azab, Michael Karsy, William T. Couldwell
Summary: This study retrospectively analyzed the clinical data of 8 patients and described the clinical experience of the modified lateral orbitotomy approach. The surgical targets included the orbital apex, superior orbital fissure, cavernous sinus, and middle cranial fossa. The results showed that the modified approach provided safe and effective access to these lesions.
OPERATIVE NEUROSURGERY
(2023)
Article
Surgery
Ankoor A. Talwar, Joseph A. Ricci
Summary: Patients with TOAS have poor outcomes with low recovery of vision overall, though surgical decompression and steroid treatment suggest improved visual outcomes. Further standardized patient data is needed to elucidate the comparative effectiveness of these interventions.
JOURNAL OF CRANIOFACIAL SURGERY
(2021)
Article
Neurosciences
Sameh M. Amin, Ahmed M. Talat, Mohammad S. Mahmoud, Ashraf Abdellatif Osman, Ayman Hussein, Ahmed Hegazy, Arundhati Biswas, Hamdi Nabawi Mostafa
Summary: Endonasal transmaxillary release of the meningo-orbital band is a feasible approach for exposing the orbital apex and middle cranial fossa.
Article
Clinical Neurology
Kentaro Watanabe, Thibault Passeri, Shunya Hanakita, Lorenzo Giammattei, Ali R. Zomorodi, Arianna Fava, Rosaria Abbritti, Moujahed Labidi, Pierre Olivier Champagne, Takanori Fukushima, Sebastien Froelich
Summary: The study demonstrates the utility and limitations of the extradural endoscopic-assisted anterior temporal fossa approach in exploring the pterygopalatine fossa, infratemporal fossa, paranasal sinuses, and other regions. The results show that this approach provides wide exposure and deep entry points for lesion exploration in various areas.
ACTA NEUROCHIRURGICA
(2021)
Article
Otorhinolaryngology
Mohammad S. Mahmoud, Ahmed G. Diab, Stephany Ngombu, Daniel M. Prevedello, Ricardo L. Carrau
Summary: The study examined the feasibility of accessing the internal maxillary artery (IMA) through a transorbital endoscopic assisted approach via the inferior orbital fissure (IOF). The results showed that the IOF can serve as a portal to the IMA, allowing for vascular control of the distal segment of the maxillary artery. This approach may be beneficial in clinical scenarios where endonasal access is not possible or as an alternative or complementary surgical route.
HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK
(2021)
Article
Medicine, General & Internal
Iyad Majid, Melanie Martel
Summary: Our case report presents the management of a rare penetrating orbital injury caused by a metal dishwasher spring hook. The patient developed an unprecedented orbital apex syndrome discovered during a follow-up ophthalmological check-up. This unique case provides valuable insights for physicians, medical students, and emergency and medical professionals on the diagnostic, surgical, and multidisciplinary management required for a successful clinical outcome.
CUREUS JOURNAL OF MEDICAL SCIENCE
(2022)
Article
Biochemistry & Molecular Biology
Ya-Lin Hu, Tian-Qi Xu, Huai-Yu Cheng, Ying Liu, Xia Zhang, Yu-Bo Zhang, Guang-Xiong Zhou
Summary: Undescribed abietane-type diterpenoids and oleanane-type triterpenoids were obtained from the stem and branch of Tripterygium wilfordii Hook. f., showing potential anti-tumor and anti-inflammatory activities.
Article
Clinical Neurology
Semyon A. Melchenko, Vasiliy A. Cherekaev, Olga Yu Alyoshkina, Gleb Danilov, Gerald Musa, Uliya Strunina, Denis A. Golbin, Nikolay Lasunin, Alexander A. Zaychenko
Summary: This article investigates the reliability of landmarks used to reach the inferior orbital fissure during orbitozygomatic craniotomy. The study suggests that the malar eminence and the zygomaticofacial foramen are unreliable, and proposes a new landmark with a high success rate.
NEUROSURGICAL REVIEW
(2022)
Article
Clinical Neurology
Bertrand Baussart, Stephan Gaillard
Summary: This article introduces an endoscopic technique for treating CSF leak or tumors located within the lateral recess of the sphenoid sinus. The technique is reliable and safe.
ACTA NEUROCHIRURGICA
(2023)
Article
Anatomy & Morphology
Denise Bonente, Virginia Barone, Vitaliano Francesco Muzii, Sara Ottolenghi, Miriam Durante, Sandra Bracco, Claudio Nicoletti, Eugenio Bertelli
Summary: This study characterizes the morphology and topography of the spina musculi recti lateralis (SMRL) and compares it to known bony landmarks. The results show that the SMRL is a process of the sphenoidal orbital plate and serves as a reliable landmark for the insertion of the tendinous ring and lateral rectus. This is an important variation for orbital surgeons to be aware of.
ANNALS OF ANATOMY-ANATOMISCHER ANZEIGER
(2024)
Article
Clinical Neurology
Viola Bartoletti, Nicolo Norri, Ivan El-Sayed, Adib A. Abla, Roberto Rodriguez Rubio
Summary: The multilayer topology at the intersection of the regional compartments in the medial orbital apex was comprehensively described through an endoscopic approach. Various landmarks and structures were identified, including the sphenoethmoidal suture, optic risk zone, and orbital fusion line. Understanding these structures can help tailor an endoscopic approach to the medial orbital space.
WORLD NEUROSURGERY
(2023)
Editorial Material
Clinical Neurology
Antonio Leocata, Pierlorenzo Veiceschi, Luca Ferlendis, Gianluca Agresta, Paolo Castelnuovo, Davide Locatelli
Summary: Cavernous hemangiomas (CHs) are the most common benign orbital tumors in adults, often presenting with visual deficits, diplopia, ocular muscle impairment, and proptosis. Surgical treatment is recommended for patients with visual impairment or increasing tumor size. Endoscopic-assisted approaches to the orbital apex have emerged as minimally invasive and effective techniques in recent years.
WORLD NEUROSURGERY
(2023)
Article
Hematology
Duanlu Hou, Xiaoli Yang, Yuanyuan Wang, Shengwen Huang, Yuping Tang, Danhong Wu
Summary: This study investigated the association between arterial calcification prevalence and progression of branch atheromatous disease (BAD) in patients with intracranial artery atherosclerosis. The results showed that carotid siphon calcification was associated with BAD and could independently predict symptomatic progression. Furthermore, a strong linear correlation was found between oxidized lipid and calcification density in patients with BAD.
ARTERIOSCLEROSIS THROMBOSIS AND VASCULAR BIOLOGY
(2022)