Surgical removal of orbital tumors by orbital approach using ultrasonic surgical system SONOPET®

Bengoa-González, Álvaro; Lago-Llinás, María-Dolores; Mencía‐Gutiérrez, Enrique; Martín-Clavijo, Agustín; Álvarez, Elena Salvador; Gimeno-Carrero, Mónica

doi:10.1080/01676830.2021.1912115

Cited by 7 publications

(10 citation statements)

References 23 publications

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“…We think, as do other authors [ 24 , 25 ], that this device is particularly helpful in removing and sculpting, in a simple, secure, and precise way, infiltrative orbital masses with difficult anatomical access, as was the situation in our cases [ 26 ].…”

Section: Discussionsupporting

confidence: 65%

Giant Cell Reparative Granuloma of the Orbit: Clinicopathological Characteristics and Treatment

Bengoa-González

Mencía‐Gutiérrez

Alonso-Martín

et al. 2021

Case Reports in Ophthalmological Medicine

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Giant cell reparative granuloma (GCRG) is a rare fibroosseous lesion uncommonly seen in the orbital area. Although benign, it is known to be recurrent and locally destructive. We report two cases of GCRG of the orbit. In both cases, computed tomography revealed a heterogeneously growing well-defined mass, arising from the roof of the orbit, affecting the cortex, and invading the orbit. In the first case, the mass extended into the anterior cranial fossa. Magnetic resonance imaging with gadolinium showed, in both cases, a cystic character of the lesion with fluid levels. The surgical treatment was performed via an upper crease incision. An ultrasonic aspirator system was used to remove the tumor tissue and its extension into cranial fossa. Careful histopathologic analysis established the diagnosis of GCRG. Symptoms resolved completely with no evidence of recurrence after a follow-up of 18 and 14 months, respectively. We present the clinicopathological and radiological findings, and we describe the surgical approach. As a rare entity, GCRG of the orbit should be considered in differential diagnosis of fibroosseous orbital masses. Complete surgical excision carries a low risk of recurrence.

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Section: Discussionsupporting

confidence: 65%

Giant Cell Reparative Granuloma of the Orbit: Clinicopathological Characteristics and Treatment

Bengoa-González

Mencía‐Gutiérrez

Alonso-Martín

et al. 2021

Case Reports in Ophthalmological Medicine

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“…Oculoplastic surgeons have utilized CUSA for bony orbital decompression, 7,8 in dacryorhinostomy (DCR) surgery 9 and for management of orbital tumors. 10,11 milieu for cutting through bone, while causing minimal soft tissue trauma. CUSA system holds certain distinct advantages over the conventional methods for bone removal such as hammer-chisel and bone drills.…”

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confidence: 99%

“…Use of CUSA for orbital biopsy, for removal of recurrent complex tumors and soft tissue masses has also been described in literature. 10,11 In the authors' own experience, CUSA has been applied for deep lateral wall bone decompression in thyroid orbitopathy cases (Figure 2), for lateral orbitotomies as well as for removal of orbital and optic nerve tumors. For soft tissue fragmentation and tumors, the soft tissue straight tip of Sonopet® device is used while for bone sculpting and disintegration, the Serrated knife and Spetzler claw tips are used.…”

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confidence: 99%

Application of cavitron ultrasonic surgical aspirator (CUSA) in orbital surgeries

Rehman¹,

Bhattacharjee

2022

IJCEO

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“…This ultrasonic aspirator was particularly helpful in cases with difficult anatomical access or for extraction of tumours of a problematic size or position (e.g., adhering to surrounding tissue). 14,21 The CUSA handpiece contains emulsification, aspiration and irrigation modalities, which allow the surgeon to sculpt and remove the mass with one instrument, leaving the other hand free for retractions or other instruments. These facilities reduce interruptions and, as a consequence, the duration of the procedure.…”

Section: Discussionmentioning

confidence: 99%

“…Similar findings were noted using other ultrasound devices such as SONOPET, which was utilised for orbital tumours of different locations and origins. This ultrasonic aspirator was particularly helpful in cases with difficult anatomical access or for extraction of tumours of a problematic size or position (e.g., adhering to surrounding tissue) 14,21 . The CUSA handpiece contains emulsification, aspiration and irrigation modalities, which allow the surgeon to sculpt and remove the mass with one instrument, leaving the other hand free for retractions or other instruments.…”

Section: Discussionmentioning

confidence: 99%

Surgical removal of an orbital liposarcoma in a dog using the cavitron ultrasonic surgical aspirator

Rawicka¹,

Corlazzoli²,

Giudice

et al. 2023

Vet Record Case Reports

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A 9‐year‐old boxer presented with unilateral exophthalmos, reduced globe retropulsion and central exposure keratitis in the right eye. On the superolateral orbital quadrant, a firm, well‐limited mass in close proximity to the globe was detected. Ultrasonic and computed tomography examinations confirmed a retrobulbar mass. The biopsy examination revealed the presence of a tumour of adipocytes, consistent with hibernoma. The retrobulbar mass was surgically removed using dorsal orbitotomy with a cavitron ultrasonic surgical aspirator. Complete retrobulbar mass removal was achieved with minimal and transient postoperative complications. The histopathological examination of the mass fragment obtained during surgery showed liposarcoma. Controlled computed tomography performed 4 months after surgery did not reveal signs of recurrence or metastasis. Ophthalmic examination was within normal limits during 1 year of follow‐up. The cavitation ultrasonic surgical aspirator allows precise mass excision with preservation of delicate orbital structures and is particularly useful in cases with challenging anatomical access.

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Surgical removal of orbital tumors by orbital approach using ultrasonic surgical system SONOPET®

Cited by 7 publications

References 23 publications

Giant Cell Reparative Granuloma of the Orbit: Clinicopathological Characteristics and Treatment

Giant Cell Reparative Granuloma of the Orbit: Clinicopathological Characteristics and Treatment

Application of cavitron ultrasonic surgical aspirator (CUSA) in orbital surgeries

Surgical removal of an orbital liposarcoma in a dog using the cavitron ultrasonic surgical aspirator

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