TY - JOUR AU - He, Haiyong; Cai, Meiqin; Li, Manting; Wei, Lei; Luo, Lun; Chen, Zhuopeng; Yang, Huasheng; Guo, Ying; Li, Wensheng TI - Surgical Techniques and the Choice of Operative Approach for Cranioorbital Lesions SN - 2193-6331 SN - 2193-634X PY - 2019 JO - J Neurol Surg B Skull Base JF - Journal of Neurological Surgery Part B: Skull Base LA - EN VL - 81 IS - 06 SP - 686 EP - 693 DA - 2019/09/04 KW - cranioorbital lesion KW - operative approach KW - microsurgery KW - supraorbital KW - eyebrow KW - approach KW - pterional approach AB - Objectives Cranioorbital lesions present a great challenge for neurosurgeons and ophthalmologists. There is no consensus on the choice of surgical approach. The aims of this study were to investigate 49 cases of cranioorbital lesions and evaluate surgical approaches and outcomes.Patients and Methods A retrospective study was done on 49 patients (51 operations) from 2009 to 2018. Information about the lesion was used to decide whether the supraorbital eyebrow approach (SEA) or pterional approach (PA) was performed.Results Twenty-eight patients had surgical resection using SEA, 21 patients received PA, each group included one case of recurrence, who underwent reoperation via the same approach. SEA provided better cosmetic satisfaction, and a shorter incision than PA (p < 0.05). There was no significant difference in total resection rates, visual outcomes, recovery of ptosis, and other new surgical-related complications between SEA group and PA group (p > 0.05). Forty-nine cases of proptosis (94.1%, 49/51) were improved. Thirty-three patients (33/37, 89.2%) who underwent follow-up for longer than 12 weeks had a modified Rankin Scale (mRS) score ≤ 3.Conclusion Surgery is the preferred treatment for cranioorbital lesions, but total resection is difficult. SEA may be a more minimally invasive option for some more limited lesions superior to optic nerve. PA may be more reasonable for the lesion with obvious hyperostosis and more extensive lesions. PB - Georg Thieme Verlag KG DO - 10.1055/s-0039-1696684 UR - http://www.thieme-connect.com/products/ejournals/abstract/10.1055/s-0039-1696684 ER -