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- Title
Exo- and endoscopic lateral orbital wall approach for the medial temporal lobe glioma: how I do it.
- Authors
Iwami, Kenichiro; Fujii, Masazumi; Watanabe, Tadashi; Osuka, Koji
- Abstract
Background: The endoscopic transorbital approach provides a direct access to the medial temporal lobe (MTL). However, when excising a highly vascular tumour, a wider access route that enables the concurrent use of standard neurosurgical instruments with both hands is preferable. Method: We described the concept and technique of the lateral orbital wall approach (LOWA), which comprises orbitotomy and mini-craniotomy to treat MTL lesions using an exoscope and endoscope. Conclusion: The LOWA provides a safe and natural surgical corridor to the MTL and enables 2- or 3-hand surgery. Hence, LOWA can potentially improve safety and efficiency to treat MTL lesions.
- Subjects
TEMPORAL lobe; GLIOMAS; MAXILLECTOMY; CRANIOTOMY
- Publication
Acta Neurochirurgica, 2024, Vol 166, Issue 1, p1
- ISSN
0001-6268
- Publication type
Article
- DOI
10.1007/s00701-024-06011-3