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June 20, 2026Operative Neurosurgery

Endoscopic Transorbital Anterior Clinoidectomy: Surgical Anatomy and Step-wise Technique

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Authors

RLRenan Maximilian LovatoFCFeng CaiAKAbdullah Keleş

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Overview

Randomized trial examines endoscopic transorbital anterior clinoidectomy in cadaver heads, suggesting its safety and effectiveness in tumor resection.

Key Points

  • To describe the technique and anatomy involved in endoscopic transorbital anterior clinoidectomy for surgical applications.
  • Conducted endoscopic procedures on 3 cadaveric heads with 5 approaches.
  • Utilized 4-mm diameter, 275-mm length Karl Storz endoscopes with varying viewing angles.
  • Performed high-speed drilling to access critical areas and subsequently documented the resection of a meningioma.
  • Successfully removed the anterior clinoid process in all 5 approaches without injuring the optic nerve or carotid artery.
  • Achieved gross total tumor resection in a clinical case with some residual tumor remaining in the cavernous sinus.
  • Observed no complications, with postoperative improvement in vision and high patient satisfaction.

Cite This Study

Lovato et al. (2026) studied this question.

synapsesocial.com/papers/6a362f63db0793dc1a536d41https://doi.org/10.1227/ons.0000000000002106
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Also Consider

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