Endoscopic-assisted transorbital surgery: Where do we stand on the scott’s parabola? personal considerations after a 10-year experience

Transorbital approaches are genuinely versatile surgical routes which show interesting potentials in skull base surgery. Given their “new” trajectory, they can be a very useful adjunct to traditional routes, even being a valid alternative to them in some cases, and add valuable opportunities in sele...

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Main Authors: Iacopo Dallan, Lodovica Cristofani-Mencacci, Giacomo Fiacchini, Mario Turri-Zanoni, Wouter van Furth, Matteo de Notaris, Miriana Picariello, Enrico Alexandre, Christos Georgalas, Luca Bruschini
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-07-01
Series:Frontiers in Oncology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fonc.2022.937818/full
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author Iacopo Dallan
Lodovica Cristofani-Mencacci
Giacomo Fiacchini
Mario Turri-Zanoni
Wouter van Furth
Matteo de Notaris
Miriana Picariello
Enrico Alexandre
Christos Georgalas
Luca Bruschini
author_facet Iacopo Dallan
Lodovica Cristofani-Mencacci
Giacomo Fiacchini
Mario Turri-Zanoni
Wouter van Furth
Matteo de Notaris
Miriana Picariello
Enrico Alexandre
Christos Georgalas
Luca Bruschini
author_sort Iacopo Dallan
collection DOAJ
description Transorbital approaches are genuinely versatile surgical routes which show interesting potentials in skull base surgery. Given their “new” trajectory, they can be a very useful adjunct to traditional routes, even being a valid alternative to them in some cases, and add valuable opportunities in selected patients. Indications are constantly expanding, and currently include selected intraorbital, skull base and even intra-axial lesions, both benign and malignant. Given their relatively recent development and thus unfamiliarity among the skull base community, achieving adequate proficiency needs not only a personalized training and knowledge but also, above all, an adequate case volume and a dedicated setting. Current, but mostly future, applications should be selected by genetic, omics and biological features and applied in the context of a truly multidisciplinary environment.
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spelling doaj.art-432b23bdc3b3460bb73194bdc80056ef2022-12-22T02:11:10ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2022-07-011210.3389/fonc.2022.937818937818Endoscopic-assisted transorbital surgery: Where do we stand on the scott’s parabola? personal considerations after a 10-year experienceIacopo Dallan0Lodovica Cristofani-Mencacci1Giacomo Fiacchini2Mario Turri-Zanoni3Wouter van Furth4Matteo de Notaris5Miriana Picariello6Enrico Alexandre7Christos Georgalas8Luca Bruschini9Ear Nose Throat (ENT) Audiology and Phoniatric Unit, Department of Surgical Pathology, Medical, Molecular and Critical Area, AziendaOspedaliero-UniversitariaPisana, University of Pisa, Pisa, ItalyEar Nose Throat (ENT) Audiology and Phoniatric Unit, Department of Surgical Pathology, Medical, Molecular and Critical Area, AziendaOspedaliero-UniversitariaPisana, University of Pisa, Pisa, ItalyEar Nose Throat (ENT) Audiology and Phoniatric Unit, Department of Surgical Pathology, Medical, Molecular and Critical Area, AziendaOspedaliero-UniversitariaPisana, University of Pisa, Pisa, ItalyENT Unit, Department of Biotechnology and Life Sciences, Ospedale di Circolo e Fondazione Macchi, University of Insubria, Varese, ItalyNeurosurgery Unit, Department of Ophthalmology, Leiden University Medical Center, Leiden, NetherlandsNeurosurgery Operative Unit, Department of Neuroscience, “San Pio” Hospital, Benevento, ItalyEar Nose Throat (ENT) Audiology and Phoniatric Unit, Department of Surgical Pathology, Medical, Molecular and Critical Area, AziendaOspedaliero-UniversitariaPisana, University of Pisa, Pisa, ItalyEar Nose Throat (ENT) Audiology and Phoniatric Unit, Department of Surgical Pathology, Medical, Molecular and Critical Area, AziendaOspedaliero-UniversitariaPisana, University of Pisa, Pisa, ItalyMedical School, University of Nicosia, Athens, GreeceEar Nose Throat (ENT) Audiology and Phoniatric Unit, Department of Surgical Pathology, Medical, Molecular and Critical Area, AziendaOspedaliero-UniversitariaPisana, University of Pisa, Pisa, ItalyTransorbital approaches are genuinely versatile surgical routes which show interesting potentials in skull base surgery. Given their “new” trajectory, they can be a very useful adjunct to traditional routes, even being a valid alternative to them in some cases, and add valuable opportunities in selected patients. Indications are constantly expanding, and currently include selected intraorbital, skull base and even intra-axial lesions, both benign and malignant. Given their relatively recent development and thus unfamiliarity among the skull base community, achieving adequate proficiency needs not only a personalized training and knowledge but also, above all, an adequate case volume and a dedicated setting. Current, but mostly future, applications should be selected by genetic, omics and biological features and applied in the context of a truly multidisciplinary environment.https://www.frontiersin.org/articles/10.3389/fonc.2022.937818/fulltransorbital endoscopic surgeryorbital surgerymultiportal surgeryTOAslearning curveskull base surgery
spellingShingle Iacopo Dallan
Lodovica Cristofani-Mencacci
Giacomo Fiacchini
Mario Turri-Zanoni
Wouter van Furth
Matteo de Notaris
Miriana Picariello
Enrico Alexandre
Christos Georgalas
Luca Bruschini
Endoscopic-assisted transorbital surgery: Where do we stand on the scott’s parabola? personal considerations after a 10-year experience
Frontiers in Oncology
transorbital endoscopic surgery
orbital surgery
multiportal surgery
TOAs
learning curve
skull base surgery
title Endoscopic-assisted transorbital surgery: Where do we stand on the scott’s parabola? personal considerations after a 10-year experience
title_full Endoscopic-assisted transorbital surgery: Where do we stand on the scott’s parabola? personal considerations after a 10-year experience
title_fullStr Endoscopic-assisted transorbital surgery: Where do we stand on the scott’s parabola? personal considerations after a 10-year experience
title_full_unstemmed Endoscopic-assisted transorbital surgery: Where do we stand on the scott’s parabola? personal considerations after a 10-year experience
title_short Endoscopic-assisted transorbital surgery: Where do we stand on the scott’s parabola? personal considerations after a 10-year experience
title_sort endoscopic assisted transorbital surgery where do we stand on the scott s parabola personal considerations after a 10 year experience
topic transorbital endoscopic surgery
orbital surgery
multiportal surgery
TOAs
learning curve
skull base surgery
url https://www.frontiersin.org/articles/10.3389/fonc.2022.937818/full
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