Visual outcome after fronto-temporo-orbito-zygomatic approach combined with early extradural and intradural optic nerve decompression in tuberculum and diaphragma sellae meningiomas

Pietro Mortini, Lina Raffaella Barzaghi, Carlo Serra, Vittoria Orlandi, Stefania Bianchi, Marco Losa

Research output: Contribution to journalArticlepeer-review

Abstract

Object: The surgical challenge of the treatment of tuberculum (TSMs) and diaphragma sellae meningiomas (DSMs) is to preserve or improve the visual function. Extradural and intradural optic nerve decompression should reduce surgical trauma of the nerve achieving a good visual result. Methods: We reported 37 consecutive TSMs and DSMs operated through fronto-temporo-orbito- zygomatic approach with extradural unroofing of the optical canal and early intradural incision of the dural sheath. Visual data were recorded measuring the visual impairment score (VIS), the visual acuity (VA), the visual field (VF) and the postoperative improvement. Results: A good visual outcome (VIS improved or unchanged) was obtained in 97.2% of patients (35/36). The evaluation of 72 eyes showed a good outcome (VA and VF unchanged or improved) in 98.6% (71/72 eyes). The degree of preoperative VA and VF impairment was the only factor correlating with the postoperative improvement of VA (P

Original languageEnglish
Pages (from-to)597-606
Number of pages10
JournalClinical Neurology and Neurosurgery
Volume114
Issue number6
DOIs
Publication statusPublished - Jul 2012

Keywords

  • Diaphragma sellae meningiomas
  • Fronto-temporo-orbito-zygomatic approach
  • Optic nerve decompression
  • Outcome after surgery in tuberculum sellae meningioma
  • Tuberculum sellae meningiomas
  • Visual improvement

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery

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