Lateral sphenoid wing meningioma surgery [Neurosurgery Wiki]

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====== Lateral sphenoid wing meningioma surgery ======

===== Latest PubMed News =====

{{rss>https://pubmed.ncbi.nlm.nih.gov/rss/search/1JwSwZqbPCSrM_SvU__EZCsmF6GtZ5uBkJEhsgBJo3vfeT9A4G/?limit=15&utm_campaign=pubmed-2&fc=20231010100524}}
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see [[Sphenoid wing meningioma surgery]].

see also [[Medial sphenoid wing meningioma surgery]].

===== Videos =====

==== Sphenoid Wing Meningioma ====

{{vimeo>172428394}}

==== Surgery for Hyperostosing Sphenoid Wing Meningiomas ====

{{youtube>ufmLqA6NV9c}}

==== Resection of a Hyperostotic Lateral Sphenoid Wing Meningioma with Intraorbital Extension (Sphenoorbital Meningioma) ====

https://www.neurosurgicalatlas.com/volumes/cranial-base-surgery/skull-base-meningioma/lateral-and-middle-sphenoid-wing-meningioma


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Surgical [[tumor resection]] is the mainstay of [[lateral sphenoid wing meningioma treatment]], and the goal of surgery is complete removal of the tumor with wide excision of the affected bone and dura, minimizing the risk for future [[meningioma recurrence]].
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===== Surgical Strategy =====

[[Pterional craniotomy]], flattening of the squamous [[temporal bone]]

Limited [[dural opening]] into the tumor for initial [[debulking]]

Pterional dural opening to access the proximal ICA

Dearterialization of the tumor along the [[sphenoid wing]]

Debulking both central and capsular portions of the tumor

Cleaving the tumor along the ICA-M1 MCA to dissect the MCA candelabra

Preservation of the medial arachnoid around the ICA and cranial nerves

[[Cautery]] and resection of the dura of the sphenoid wing