Transpalpebral lateral orbital approach for epidermoid cyst of the sphenoid wing

Bone lesions of the lateral orbit are commonly indicated for surgical resection. While surgeons have a plethora of techniques to choose from, the transpalpebral approach offers a minimally invasive corridor with favourable outcomes. In this report, we describe this approach in further detail for the treatment of an epidermoid cyst arising from the sphenoid wing and lateral orbit in a female in her 50s. This patient underwent a successful transpalpebral lateral orbital approach for their sphenoid wing and orbital rim bone lesion at a tertiary medical centre. The surgical length was 110 min and the hospital stay was 1 day. The patient did not experience complications. The transpalpebral lateral orbital approach offers a minimally invasive surgical corridor to the sphenoid wing and orbital rim.

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Publication Details

Journal
BMJ Case Reports
Published
2025-03-01
DOI
https://doi.org/10.1136/bcr-2024-264000
Primary Topic
Meningioma and schwannoma management
Type
article
Field-Weighted Citation Impact
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article

Transpalpebral lateral orbital approach for epidermoid cyst of the sphenoid wing

John Jing-Wei Chen, Robert S. Heller, Michael Rothschild
BMJ Case Reports
Meningioma and schwannoma management
article

Transpalpebral lateral orbital approach for epidermoid cyst of the sphenoid wing

John Jing-Wei Chen, Robert S. Heller, Michael Rothschild
article en

Abstract

Bone lesions of the lateral orbit are commonly indicated for surgical resection. While surgeons have a plethora of techniques to choose from, the transpalpebral approach offers a minimally invasive corridor with favourable outcomes. In this report, we describe this approach in further detail for the treatment of an epidermoid cyst arising from the sphenoid wing and lateral orbit in a female in her 50s. This patient underwent a successful transpalpebral lateral orbital approach for their sphenoid wing and orbital rim bone lesion at a tertiary medical centre. The surgical length was 110 min and the hospital stay was 1 day. The patient did not experience complications. The transpalpebral lateral orbital approach offers a minimally invasive surgical corridor to the sphenoid wing and orbital rim.

BMJ Case ReportsVol. 18(3)
Albany Medical Center Hospital (US)
Good health and well-being
Openalex Percentile: Top 94%
Meningioma and schwannoma management
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Transpalpebral lateral orbital approach for epidermoid cyst of the sphenoid wing — John Jing-Wei Chen, Robert S. Heller, et al. · BMJ Case Reports (2025) | TGRS Research Map | TGRS