Intraoperative Medialization of Medial Rectus Muscle as a New Endoscopic Technique for Approaching Intraconal Lesions

Tomazic, Peter Valentin; Stammberger, Heinz R.; Habermann, Walter; Gerstenberger, Claus; Braun, H; Gellner, Verena; Mokry, Michael; Klein, Angelika; Langmann, G.; Koele, W

doi:10.2500/ajra.2011.25.3663

Cited by 51 publications

(46 citation statements)

References 13 publications

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“…Twelve papers were identified and included which contained patient data for 17 cases [5][6][7][8][9][10][11][12][13][14][15][16]. Six patients were male and eleven were female.…”

Section: Resultsmentioning

confidence: 99%

Purely endoscopic trans-nasal management of orbital intraconal cavernous haemangiomas: a systematic review of the literature

Lenzi

Bleier

Felisati

et al. 2015

Eur Arch Otorhinolaryngol

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The surgical management of medial and inferior orbital lesions is demanding via traditional external approach, since the conic-shaped surgical field is narrow and damage to neural, muscular or vascular structures of the orbit can have serious consequences. In recent years, the evolution of endoscopic endonasal approaches for lesions that goes beyond the nose brought the orbit to the attention of rhinosurgeons. If procedures such as transnasal orbital decompression and lacrimal pathways surgery have been described some decades ago, the last frontier of transnasal orbital surgery, namely intraconal tumor surgery, is a new and rapidly expanding field. Papers describing endoscopic endonasal approaches to the orbit appeared in the international literature, but most of them contain a small number of cases, also because the relatively rarity of intraorbital lesions. We herein report the results of a systematic review of the literature regarding the endoscopic endonasal approach to intraconal cavernous haemangiomas, the most common benign orbital lesion. The endoscopic management of intraconal cavernous haemangiomas results feasible and safe. A critical step of this kind of surgery is the management of the medial rectus muscle, mandatory to expose the intraconal space.

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“…Twelve papers were identified and included which contained patient data for 17 cases [5][6][7][8][9][10][11][12][13][14][15][16]. Six patients were male and eleven were female.…”

Section: Resultsmentioning

confidence: 99%

Purely endoscopic trans-nasal management of orbital intraconal cavernous haemangiomas: a systematic review of the literature

Lenzi

Bleier

Felisati

et al. 2015

Eur Arch Otorhinolaryngol

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“…In 1999, Herman et al reported a case of endoscopic transnasal excision of an intraorbital hemangioma . Several other related studies have also been reported . Endoscopic techniques mainly are used in surgery on medial orbital optic nerve tumors, but the literature is still quite heterogeneous due to the complexity of the intraorbital anatomy and widely varying relationship of the tumor to critical neurovascular structures.…”

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confidence: 99%

Transnasal endoscopic resection of orbital cavernous hemangiomas: our experience with 23 cases

Zhou

Huang

et al. 2019

Int Forum Allergy Rhinol

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Background:The aim of this work was to present our singlecenter experience on orbital cavernous hemangiomas managed using an endonasal endoscopic approach. Methods:The study design used was one-institutional retrospective review. Twenty-three cases of orbital cavernous hemangioma were analyzed and followed up.Results: There were 10 males and 13 females, with an average age of 46.1 years, included in our study. Seven cases were extraconal, 16 cases were intraconal, and in 10 of the patients the optic nerve was involved and compressed. Total resection of the tumor was achieved in 16 cases; of the remaining 7 cases, partial tumor resection and orbital decompression were conducted, orbital decompression was conducted in 2 cases, and orbital decompression and optic nerve decompression were conducted in 3 cases. Visual acuity in 9 patients improved significantly, as 16 of the 20 patients with a preoperative visual field defect had a smaller defect a er surgery. Conclusion:This study adds to the literature showing that endoscopic transnasal surgery is likely a reasonable option for patients with the orbital cavernous hemangiomas medial of the optic nerve. With greater experience, skilled surgical technique, and careful operation, be er clinical efficacy can be achieved. C 2019 ARS-AAOA, LLC.

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“…13,14 Tomazic et al 13 Copyright (c) Oceanside Publications, Inc. All rights reserved. For permission to copy go to https://www.oceansidepubl.com/permission.htm date when using the transchoanal method with 2-0 silk thread for MRM retraction around the choana.…”

Section: Discussionmentioning

confidence: 94%

“…The heights of exposure in the vertical dimension were 4.51 Ϯ 1.56 mm for the external group, 12.53 Ϯ 4.38 mm for the transseptal group, 13.05 Ϯ 5.86 mm for the choanal group, and 13.57 Ϯ 3.74 mm for the transseptal double ball group (Table 1). A graphic representation of these data by using box and whisker plots is seen in Fig.…”

Section: Height Of Exposurementioning

confidence: 99%

Comparative Techniques of Medial Rectus Muscle Retraction for Endoscopic Exposure of the Medial Intraconal Space

Lin

Freitag

Kocharyan

et al. 2016

Am J Rhinol�Allergy

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Intraoperative Medialization of Medial Rectus Muscle as a New Endoscopic Technique for Approaching Intraconal Lesions

Cited by 51 publications

References 13 publications

Purely endoscopic trans-nasal management of orbital intraconal cavernous haemangiomas: a systematic review of the literature

Purely endoscopic trans-nasal management of orbital intraconal cavernous haemangiomas: a systematic review of the literature

Transnasal endoscopic resection of orbital cavernous hemangiomas: our experience with 23 cases

Comparative Techniques of Medial Rectus Muscle Retraction for Endoscopic Exposure of the Medial Intraconal Space

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