Frontiers in Oncology (Jul 2022)

Endoscopic-assisted transorbital surgery: Where do we stand on the scott’s parabola? personal considerations after a 10-year experience

  • Iacopo Dallan,
  • Lodovica Cristofani-Mencacci,
  • Giacomo Fiacchini,
  • Mario Turri-Zanoni,
  • Wouter van Furth,
  • Matteo de Notaris,
  • Miriana Picariello,
  • Enrico Alexandre,
  • Christos Georgalas,
  • Luca Bruschini

DOI
https://doi.org/10.3389/fonc.2022.937818
Journal volume & issue
Vol. 12

Abstract

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Transorbital approaches are genuinely versatile surgical routes which show interesting potentials in skull base surgery. Given their “new” trajectory, they can be a very useful adjunct to traditional routes, even being a valid alternative to them in some cases, and add valuable opportunities in selected patients. Indications are constantly expanding, and currently include selected intraorbital, skull base and even intra-axial lesions, both benign and malignant. Given their relatively recent development and thus unfamiliarity among the skull base community, achieving adequate proficiency needs not only a personalized training and knowledge but also, above all, an adequate case volume and a dedicated setting. Current, but mostly future, applications should be selected by genetic, omics and biological features and applied in the context of a truly multidisciplinary environment.

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