Through the orbit and beyond: Current state and future perspectives in endoscopic orbital surgery on behalf of the EANS frontiers committee in orbital tumors and the EANS skull base section

C Zoia; G Mantovani; M Müther; E Suero Molina; A Scerrati; P De Bonis; J F Cornelius; P H Roche; M Tatagiba; E Jouanneau; R Manet; H W S Schroeder; L M Cavallo; E M Kasper; T R Meling; D Mazzatenta; R T Daniel; M Messerer; M Visocchi; S Froelich; M Bruneau; G Spena

doi:10.1016/j.bas.2023.102669

Through the orbit and beyond: Current state and future perspectives in endoscopic orbital surgery on behalf of the EANS frontiers committee in orbital tumors and the EANS skull base section

Brain Spine. 2023 Aug 28:3:102669. doi: 10.1016/j.bas.2023.102669. eCollection 2023.

Authors

C Zoia¹, G Mantovani², M Müther³, E Suero Molina³, A Scerrati², P De Bonis², J F Cornelius⁴, P H Roche⁵, M Tatagiba⁶, E Jouanneau⁷, R Manet⁷, H W S Schroeder⁸, L M Cavallo⁹, E M Kasper¹⁰, T R Meling¹¹, D Mazzatenta¹², R T Daniel¹³, M Messerer¹³, M Visocchi¹⁴, S Froelich¹⁵, M Bruneau¹⁶, G Spena¹⁷

Affiliations

¹ UOC Neurochirurgia, Ospedale Moriggia Pelascini, Gravedona e Uniti, Italy.
² Neurosurgery Unit, Department of Translational Medicine, University of Ferrara, Ferrara, Italy.
³ Department of Neurosurgery, University Hospital of Münster, Münster, Germany.
⁴ Department of Neurosurgery, Medical Faculty, Heinrich-Heine-University, Düsseldorf, Germany.
⁵ Department of Neurosurgery, Aix-Marseille Université, Assistance Publique-Hôpitaux de Marseille, Hôpital Nord, Marseille, France.
⁶ Department of Neurosurgery, University Hospital Tübingen, Tübingen, Germany.
⁷ Department of Neurosurgery, Hôpital Neurologique Pierre Wertheimer, Lyon, France.
⁸ Department of Neurosurgery, University Medicine Greifswald, Germany.
⁹ Department of Neurosciences and Reproductive and Dental Sciences, Division of Neurosurgery, Federico II University of Naples, Policlinico Federico II University Hospital, Italy.
¹⁰ Department of Neurosurgery, Steward Medical Group, Brighton, USA.
¹¹ Department of Neurosurgery, The National Hospital, Rigshospitalet, Copenhagen, Denmark.
¹² Department of Neurosurgery, Neurological Sciences Institut IRCCS, Bologna, Italy.
¹³ Department of Neurosurgery, Department of Neuroscience, Centre Hospitalier Universitaire Vaudois, University Hospital, Lausanne, Switzerland.
¹⁴ Department of Neurosurgery, Institute of Neurosurgery Catholic University of Rome, Italy.
¹⁵ Department of Neurosurgery, Lariboisière Hospital, Université Paris Diderot, Paris, France.
¹⁶ Department of Neurosurgery, Universitair Ziekenhuis Brussel, Vrije Universiteit Brussel, Brussels, Belgium.
¹⁷ Neurosurgery Unit, IRCSS San Matteo Hospital, Pavia, Italy.

Abstract

Introduction: Orbital surgery has always been disputed among specialists, mainly neurosurgeons, otorhinolaryngologists, maxillofacial surgeons and ophthalmologists. The orbit is a borderland between intra- and extracranial compartments; Krönlein's lateral orbitotomy and the orbitozygomatic infratemporal approach are the historical milestones of modern orbital-cranial surgery.

Research question: Since its first implementation, endoscopy has significantly impacted neurosurgery, changing perspectives and approaches to the skull base. Since its first application in 2009, transorbital endoscopic surgery opened the way for new surgical scenario, previously feasible only with extensive tissue dissection.

Material and methods: A PRISMA based literature search was performed to select the most relevant papers on the topic.

Results: Here, we provide a narrative review on the current state and future trends in endoscopic orbital surgery.

Discussion and conclusion: This manuscript is a joint effort of the EANS frontiers committee in orbital tumors and the EANS skull base section.

Keywords: Endoscopy; Neuroendoscopy; Orbital surgery; Skull base; Transorbital.

Publication types

Review