PTERIONAL APPROACH TO THE CONTRALATERAL ORBIT

OF A TOTAL of 80 operated intraorbital lesions, 2 were located in the posterior intraconal space, medial and inferior to the optic nerve. Be cause they were unfavorably located for standard surgical approaches, we operated via a contralateral pterional transsphenoidal-transethmoid al route. This technique provided excellent exposure and results in th ese two cases of intraorbital cavernous malformations. A brief descrip tion of the approach is presented.