What question did this study set out to answer?

This comment examines the emerging role of the endoscopic transorbital approach in treating trigeminal schwannomas.

March 21, 2026

Comment on "Endoscopic endonasal versus transcranial approaches for trigeminal schwannomas", - the emerging role of the endoscopic transorbital approach.

Key Points

This comment examines the emerging role of the endoscopic transorbital approach in treating trigeminal schwannomas.
Reviewed and compared traits of endoscopic endonasal and transcranial approaches
Utilized Samii's classification for tumor management
Analyzed various surgical corridors and their effectiveness
Endoscopic endonasal approaches provide advantages for specific tumor traits
Transcranial approaches remain robust for other tumor locations
Emerging evidence supports endoscopic transorbital approach as a viable option

Abstract

We read with great interest the article by Pan et al.: "Endosco-pic endonasal versus transcranial approaches for trigeminal schwannomas: choosing the optimal surgical corridor based on tumour traits," recently published in Rhinology (1). The authors provide a valuable trait-based framework comparing endosco-pic endonasal (EEA) (trans-meckel's cave, transclival, trans-lamina papyracea, and trans-prelacrimal recess approaches) and transcranial approaches (TCA) (intra/extradural subtemporal with or without anterior petrosectomy, Kawase, and zygoma-tic middle fossa approach) in the management of trigeminal schwannomas (TS), according to the Samii's classification (2).

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Cite This Study

Dallan et al. (Thu,) studied this question.

synapsesocial.com/papers/69be35a96e48c4981c6740e9 https://doi.org/https://doi.org/10.4193/rhin26.039

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