Superior eyelid lateral transorbital approach for resection of a Meckel’s cave schwannoma: how I do it

Background Trigeminal schwannomas are rare, benign, slow-growing nerve sheath tumors. Endoscopic Transorbital Approach (ETOA) utilization has gained traction in recent years. Method The authors present a surgical video demonstrating the ETOA technique for resection of a Meckel’s cave schwannoma with cavernous sinus extension via a superior eyelid incision, with relevant surgical anatomy discussed. Conclusion In carefully selected patients, the ETOA is a safe and effective minimally invasive surgical option that can address lesions involving the Meckel’s cave and cavernous sinus.