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Endoscopic Transorbital Approach to Mesial Temporal Lobe for Intra-Axial Lesions: Cadaveric Study and Case Series (SevEN-008)
DC Field | Value | Language |
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dc.contributor.author | 김우현 | - |
dc.contributor.author | 박현호 | - |
dc.contributor.author | 유지환 | - |
dc.contributor.author | 윤인식 | - |
dc.contributor.author | 정인호 | - |
dc.contributor.author | 홍창기 | - |
dc.contributor.author | 최선아 | - |
dc.date.accessioned | 2021-12-28T17:45:42Z | - |
dc.date.available | 2021-12-28T17:45:42Z | - |
dc.date.issued | 2021-11 | - |
dc.identifier.issn | 2332-4252 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/187255 | - |
dc.description.abstract | Background: Endoscopic transorbital approach (ETOA) has been proposed as a minimally invasive technique for the treatment of skull base lesions located around mesial temporal lobe (MTL), mostly extra-axial pathology. Objective: To explore the feasibility of ETOA in accessing intraparenchymal MTL with cadaveric specimens and describe our initial clinical experience of ETOA for intra-axial lesions in MTL. Methods: Anatomic dissections were performed in 4 adult cadaveric heads using a 0° endoscope. First, a stepwise anatomical investigation of ETOA to intraparenchymal MTL was explored. Then, ETOA was applied clinically for 7 patients with intra-axial lesions in MTL, predominantly high-grade gliomas (HGGs) and low-grade gliomas (LGGs). Results: The extradural stage of ETOA entailed a superior eyelid incision followed by orbital retraction, drilling of orbital roof, greater and lesser wing of sphenoid bone, and cutting of the meningo-orbital band. For the intradural stage, the brain tissue medial to the occipito-temporal gyrus was aspirated until the temporal horn was opened. The structures of MTL could be aspirated selectively in a subpial manner without injury to the neurovascular structures of the ambient and sylvian cisterns, and the lateral neocortex. After cadaveric validation, ETOA was successfully performed for 4 patients with HGGs and 3 patients with LGGs. Gross total resection was achieved in 6 patients (85.7%) without significant surgical morbidities including visual field deficits. Conclusion: ETOA provides a logical line of access for intra-axial lesions in MTL. The safe and natural surgical trajectory of ETOA can spare brain retraction, neurovascular injury, and disruption of the lateral neocortex. | - |
dc.description.statementOfResponsibility | restriction | - |
dc.language | English | - |
dc.publisher | Oxford University Press | - |
dc.relation.isPartOf | OPERATIVE NEUROSURGERY | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.title | Endoscopic Transorbital Approach to Mesial Temporal Lobe for Intra-Axial Lesions: Cadaveric Study and Case Series (SevEN-008) | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Neurosurgery (신경외과학교실) | - |
dc.contributor.googleauthor | Hun Ho Park | - |
dc.contributor.googleauthor | Tae Hoon Roh | - |
dc.contributor.googleauthor | Seonah Choi | - |
dc.contributor.googleauthor | Jihwan Yoo | - |
dc.contributor.googleauthor | Woo Hyun Kim | - |
dc.contributor.googleauthor | In-Ho Jung | - |
dc.contributor.googleauthor | In-Sik Yun | - |
dc.contributor.googleauthor | Chang-Ki Hong | - |
dc.identifier.doi | 10.1093/ons/opab319 | - |
dc.contributor.localId | A06002 | - |
dc.contributor.localId | A01750 | - |
dc.contributor.localId | A05158 | - |
dc.contributor.localId | A02588 | - |
dc.contributor.localId | A06107 | - |
dc.contributor.localId | A04445 | - |
dc.relation.journalcode | J03733 | - |
dc.identifier.eissn | 2332-4260 | - |
dc.identifier.pmid | 34528091 | - |
dc.identifier.url | https://academic.oup.com/ons/article/21/6/E506/6370900 | - |
dc.subject.keyword | Cadaveric study | - |
dc.subject.keyword | Case series | - |
dc.subject.keyword | Endoscopic transorbital approach | - |
dc.subject.keyword | Intra-axial | - |
dc.subject.keyword | Mesial temporal lobe | - |
dc.contributor.alternativeName | Kim, Woohyun | - |
dc.contributor.affiliatedAuthor | 김우현 | - |
dc.contributor.affiliatedAuthor | 박현호 | - |
dc.contributor.affiliatedAuthor | 유지환 | - |
dc.contributor.affiliatedAuthor | 윤인식 | - |
dc.contributor.affiliatedAuthor | 정인호 | - |
dc.contributor.affiliatedAuthor | 홍창기 | - |
dc.citation.volume | 21 | - |
dc.citation.number | 6 | - |
dc.citation.startPage | E506 | - |
dc.citation.endPage | E515 | - |
dc.identifier.bibliographicCitation | OPERATIVE NEUROSURGERY, Vol.21(6) : E506-E515, 2021-11 | - |
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