Extradural and intradural microsurgical approaches to lesions of the optic canal and the superior orbital fissure

Acta Neurochir (Wien). 1985;74(3-4):87-93. doi: 10.1007/BF01418794.


Within 3 years, 34 patients with lesions of the posterior part of the orbit, the optic canal, and the superior orbital fissure were operated using different surgical approaches. The results on the functional and cosmetic outcomes were compiled. The pterional approach was shown to be the most useful one. It can be used in intradural as well as in extradural and combined operations. It allows an excellent view of basal cerebral structures as well as the frontal base of the skull. The operative results are dependent on the type and the location of the lesion, and, especially in meningiomas, on their relationship to the cavernous sinus.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Aged
  • Dura Mater / surgery
  • Female
  • Humans
  • Male
  • Meningeal Neoplasms / surgery
  • Meningioma / surgery
  • Microsurgery / methods*
  • Middle Aged
  • Nerve Compression Syndromes / surgery
  • Optic Nerve Diseases / diagnostic imaging
  • Optic Nerve Diseases / surgery*
  • Orbit / surgery
  • Orbital Diseases / diagnostic imaging
  • Orbital Diseases / surgery*
  • Orbital Neoplasms / surgery
  • Postoperative Complications / diagnostic imaging
  • Skull Neoplasms / surgery
  • Sphenoid Bone / surgery
  • Tomography, X-Ray Computed