Minim Invasive Neurosurg 2005; 48(1): 44-46
DOI: 10.1055/s-2004-830177
Original Article
© Georg Thieme Verlag Stuttgart · New York

Single Burr Hole Surgery for the Spheno-Orbital Fibrous Dysplasia Using Intraoperative Computed Tomography

R.  Kitai1 , K.  Sato1 , K.  Ido1 , T.  Sakuma1 , Y.  Handa1 , T.  Kubota1
  • 1Department of Neurosurgery, Faculty of Medical Science, Fukui Medical University, Fukui, Japan
Further Information

Publication History

Publication Date:
04 March 2005 (online)

Abstract

Total removal of spheno-orbital fibrous dysplasia was achieved through intraoperative CT-assisted surgery via a burr hole. A 32-year-old man had persistent headache. Radiological studies demonstrated a small osteolytic lesion in the sphenoidal bone underneath the superior orbital fissure. Intraoperative serial CT scans showed the depth and width of the tumor within the complicated structure of the skull base. The lesion was successfully removed by CT-guided minimally invasive surgery.

References

  • 1 Arai H, Sato K, Katsuta T. et al . Lateral approach to intraorbital lesions: anatomic and surgical considerations.  Neurosurgery. 1996;  39 1157-1163
  • 2 Berke R N. A modified Kronlein operation.  Ama Arch Opthalmol. 1954;  51 609-632
  • 3 Kronlein R D. Zur Pathologie und operativen Behandlung der Dermoidcysten der Orbita.  Beitr Klin Chir. 1889;  4 149-163
  • 4 Reisch R, Perneczky A, Filippi R. Surgical technique of the supraorbital key-hole craniotomy.  Surg Neurol. 2003;  59 223-227
  • 5 Long D M. Neurosurgical involvement in tumors of the orbit.  Clin Neurosurg. 1985;  32 514-523
  • 6 Maroon J C, Kennerdel J S. Lateral microsurgical approach to intraorbital tumors.  J Neurosurg. 1976;  44 556-561
  • 7 Kabuto M, Kubota T, Kobayashi H. et al . Intraoperative CT imaging system using a mobile CT scanner gantry mounted on floor-embedded rails for neurosurgery.  No To Shinkei. 1998;  50 1003-1008
  • 8 Jan M, Dweik A, Destrieux C. et al . Fronto-orbital sphenoidal fibrous dysplasia.  Neurosurgery. 1994;  34 544-547
  • 9 Bibby K, McFadzean R. Fibrous dysplasia of the orbit.  Br J Ophthalmol. 1994;  78 266-270

Ryuhei Kitai,M. D. 

Department of Neurosurgery · Faculty of Medical Science · Fukui Medical University

Matsuoka, Fukui 911-1193

Japan

Fax: +81-776-61-8115

Email: kitai@fmsrsa.fukui-med.ac.jp

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