State of the art and future perspectives on the management of spheno-orbital meningiomas: a meta-analysis comparing transorbital and transcranial approaches - Takeaways - MDSpire

State of the art and future perspectives on the management of spheno-orbital meningiomas: a meta-analysis comparing transorbital and transcranial approaches

  • By

  • Edoardo Porto

  • Giorgio Fiore

  • Arianna Barbotti

  • Giulio A Bertani

  • Massimiliano Del Bene

  • Giovanni Marfia

  • Francesco Corrivetti

  • Matteo de Notaris

  • Domenico Solari

  • Gustavo Pradilla

  • Hani J Marcus

  • Marco Locatelli

  • Francesco DiMeco

  • May 12, 2026

  • 0 min

Share

  • 1

    Endoscopic transorbital approaches (ETOA) show superior proptosis improvement compared to standard transcranial techniques in treating spheno-orbital meningiomas.

  • 2

    Visual outcomes after ETOA are comparable to those achieved with standard transcranial approaches, with no significant difference in improvement rates.

  • 3

    Gross total resection rates are lower with ETOA (21.1%) compared to transcranial approaches (48.0%), indicating a trade-off in surgical efficacy.

  • 4

    Complication rates between ETOA and standard transcranial surgery do not differ significantly, suggesting similar safety profiles.

  • 5

    Longer follow-up is necessary to assess long-term tumor control and recurrence rates for patients undergoing ETOA for spheno-orbital meningiomas.

Original Source(s)

State of the art and future perspectives on the management of spheno-orbital meningiomas: a meta-analysis comparing transorbital and transcranial approaches

  • by Edoardo Porto, Giorgio Fiore, Arianna Barbotti, Giulio A Bertani, Massimiliano Del Bene, Giovanni Marfia, Francesco Corrivetti, Matteo de Notaris, Domenico Solari, Gustavo Pradilla, Hani J Marcus, Marco Locatelli, Francesco DiMeco

  • May 12, 2026

Related Content

FEBAIR microsurgical principles in meningiomas and recurrence: a long-term follow-up series

Malignant reninoma with pulmonary metastasis and ATRX mutation treated with olaparib: a case report of specialized treatment

Minimally invasive, robotic-assisted resection of abdominal wall tumors: a case series