“Round-the-Clock” Surgical Access to the Orbit

Paluzzi, A.; Koutourousiou, M.; Tormenti, M.; Fernandez-Miranda, J.; Snyderman, C.; Gardner, P.; Maroon, J.

doi:10.1055/s-0032-1314033

Cited by 12 publications

(19 citation statements)

References 9 publications

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“…As endoscopic skull base techniques have become more widely utilized and accepted, however, approaches to the orbit have experienced a rebirth, with an increasing number of papers being published on the subject in recent years. 13,17 Consequently, this study was conceived in an effort to examine the independent endoscopic techniques developed at multiple experienced institutions to deal with a single type of lesion.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic endonasal orbital cavernous hemangioma resection: global experience in techniques and outcomes

Bleier

Castelnuovo

Battaglia

et al. 2015

Int Forum Allergy Rhinol

112

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Extraconal lesions were managed similarly; however, greater variability was evident for intraconal lesions. These included the laterality and number of hands in the approach, methods of medial rectus retraction, and the need for reconstruction. The increased technical complexity and disparity of techniques in addressing intraconal OCHs suggests that continued research into the optimal management of this subclass of lesions is of significant priority.

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Section: Discussionmentioning

confidence: 99%

Endoscopic endonasal orbital cavernous hemangioma resection: global experience in techniques and outcomes

Bleier

Castelnuovo

Battaglia

et al. 2015

Int Forum Allergy Rhinol

112

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“…Many surgical approaches are possible for orbital lesions, mainly depending on their location, each one with proper advantages and limits (Martins et al, 2011;Paluzzi et al, 2015).…”

Section: :50 Discussion On Possible Surgical Managementmentioning

confidence: 99%

“…For lesions located anteriorly to the bulb, inferior or superior transconjunctival approaches may be adopted (Paluzzi et al, 2015). However, for deeper lesions other approaches are preferred, as the transcranial ones, which allow to enter into the orbit after its unroofing, such as for omolateral frontotemporal or frontotemporozygomatic or bifrontal (Khan and Varvares, 2006;Netuka et al, 2013;Liu et al, 2012).…”

Section: :50 Discussion On Possible Surgical Managementmentioning

confidence: 99%

Endoscopic transpalpebral approach for resection of an intraorbital intraconal cavernous angioma

Zoli

Sollini

Asioli

et al. 2019

Neurosurgical Focus: Video

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VIDEO Transcript 0:20 Case presentationThis video represents the surgical management of an intraorbital intraconal cavernous angioma, located laterally to the optic nerve, in the left side.A 47-year-old man presented with a 6-month history or progressive left exophthalmus. An MRI was performed, showing a spotting enhancing lesion mainly located in the superoexternal quadrant of the orbit, medially displacing the optic nerve, compatible for a cavernous angioma. Correspondence

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“…This kind of approach, although really interesting, is anyway quite invasive, and, whenever possible, we advise for more conservative procedures. Recently, the "Pittsburgh group" has proposed an algorithm 10 for the surgical management of orbital disease. The authors compared the orbit to a clock centered on the optic nerve.…”

Section: Discussionmentioning

confidence: 99%

Untitled

2018

Surg J

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Orbital disease management, although technically demanding and challenging, benefits nowadays several surgical approaches. According to the location, biological behavior, and size of the lesion, the surgeon should design and choose his/her surgical procedure to offer the best angle of attack the lesion itself, thus minimizing the risks to damage noble neurovascular and muscular intraorbital structures.Laterally located lesions are traditionally managed through lateral orbitotomy or superior eyelid (SE) approach, 1 whereas medially located intraorbital lesions (IOLs) are more easily accessed through the transnasal route or other external transorbital approaches.2-6 However, certain lesions with superomedial location may determine a technical challenge. Keywords► orbital lesion ► orbital surgery ► intraconal venous malformation ► endoscopic transnasal approach ► superior eyelid approach AbstractOrbital lesions are traditionally managed through external approaches when laterally located, and through a transnasal approach or other external approaches when medially located. However, when the lesion is superomedially located, it may determine a technical challenge. In this study, we present the case of a patient with a superomedial intraconal venous malformation of the left eye. We addressed the mass through a combined approach, using the transnasal route as the main approach, and the superior eyelid approach to push down the lesion to facilitate the excision. We have called this approach "push-pull technique." We achieved a complete resection of the lesion and did not observe any intraoperative or postoperative complications. The last follow-up at 6 months postoperatively showed no recurrence, and the patient was satisfied and completely recovered. According to our experience, the "push-pull" technique seems to be a safe procedure and might be considered a valid alternative to address selected superomedial intraconal lesions.

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“Round-the-Clock” Surgical Access to the Orbit

Cited by 12 publications

References 9 publications

Endoscopic endonasal orbital cavernous hemangioma resection: global experience in techniques and outcomes

Endoscopic endonasal orbital cavernous hemangioma resection: global experience in techniques and outcomes

Endoscopic transpalpebral approach for resection of an intraorbital intraconal cavernous angioma

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