Work

Transorbital endoscopic approach for repair of a lateral sphenoid sinus cerebrospinal fluid leak

Year: 2025

Type: article

Abstract: The transorbital craniotomy represents a minimally invasive approach to the mesial structures of the middle fossa. This video depicts the approach to the lateral sphenoid recess in a patient with CSF rhinorrhea secondary to a lateral sphenoid encephalocele. The transorbital approach represents a unique advantage to repairing the lateral sphenoid sinus in comparison to the endoscopic endonasal approach, which requires traversing, and often transecting, the vidian nerve. Following identification of the skull base defect, repair is performed as an underlay with an abdominal fat graft. Following surgery, the patient had no recurrent rhinorrhea. The video can be found here: https://stream.cadmore.media/r10.3171/2025.1.FOCVID24207.

Source: Neurosurgical Focus Video

DOI: 10.3171/2025.1.focvid24207

Authors: Nader Delavari, Jesse D. Lawrence, Jonathan Tangsrivimol, Mattia Testa, Kyle J. Godfrey, Theodore H. Schwartz

Institutions: Cornell University, Weill Cornell Medicine, Weill Cornell Medical Center, Chulabhorn Hospital, Chulabhorn Royal Academy, University of Verona

Language: English

Topic: Head and Neck Surgical Oncology

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4409039683

FWCI: 0.892

Cites: 5

Cited by: 1

Related to: 10