Spheno-Orbital Meningioma Resection and Reconstruction: The Role of Piezosurgery and Premolded Titanium Mesh

Craniomaxillofacial Trauma and Reconstruction

Alicia Dean Ferrer²  Susana Heredero Jung²  Francisco Alamillos Granados²  Juan Solivera Vela¹ 

[1] Department of Neurosurgery, Reina Sofía University Hospital, Córdoba, Spain;Department of Oral and Maxillofacial Surgery, Reina Sofía University Hospital, Córdoba, Spain

关键词: Orbital meningioma;    piezosurgery;    premolded titanium mesh;    orbital reconstruction;   

DOI  :  10.1055/s-0031-1286113

学科分类：口腔科学

来源: Thieme Medical Publishers, Inc.

【 摘 要 】

We present the clinical case of a patient with a spheno-orbital meningioma. Literature review of the treatment options, including the application of piezoelectric or ultrasound surgery and orbital reconstruction after meningioma resection, is also presented. Complete resection was performed by means of a frontotemporal craniotomy and an orbitozygomatic approach. Piezoelectric osteotomy was used around the optic nerve canal and the superior orbital fissure to minimize the damage to soft tissues. Orbital wall reconstruction was done using a titanium mesh previously premolded using a skull model. The superior orbital rim was reconstructed with calvarial bone grafts, and the sphenotemporal bone defect was covered with a titanium mesh cranioplasty. Ultrasonic vibrations to perform osteotomies in craniofacial surgery provide an interesting tool to reduce damage to surrounding soft tissues. Reconstruction of the roof and lateral orbital wall with premolded titanium meshes with a skull model is a safe and easy method to achieve a good orbital reconstruction and to avoid secondary sequelae.

【 授权许可】

Unknown