Location-Based Surgical Approaches for Orbital Tumor Resection

Purpose: We investigated the site of tumor development, tumor tissue morphology, surgical approach, and method of selection and indications for a particular surgical method in patients who underwent intraorbital tumor excision. Methods: Surgical methods employed for orbital tumors at our facility between January 2010 and December 2021 were investigated. The relationship between the site of tumor development and surgical approaches, including osteotomy, was investigated. Results: The study included 92 patients, of whom 35 required osteotomy. Superficial orbital tumors were excised using a percutaneous or transconjunctival approach. Craniotomy was necessary to excise deep orbital tumors that developed above the optic nerve. Tumors that developed on the lateral side of the optic nerve were excised using lateral orbitotomy without craniotomy. Deep orbital tumors that developed on the medial and lower sides were excised by extending orbital osteotomy to adjacent sites as needed, for example, a combination of lateral orbitotomy and inferior rim osteotomy. single osteotomy or concomitant osteotomy at several sites, as needed.

[1]  S. Grob,et al.  Novel Surgical Approaches to the Orbit , 2015, Middle East African journal of ophthalmology.

[2]  A. Ardalan,et al.  Lateral orbitotomy approach for removing hyperostosing en plaque sphenoid wing meningiomas. Description of surgical strategy and analysis of findings in a series of 88 patients with long-term follow up , 2015, Surgical neurology international.

[3]  Hande Ezerarslan,et al.  A simple technique for removal of orbital tumors: transmaxillary approach. , 2013, Kulak burun bogaz ihtisas dergisi : KBB = Journal of ear, nose, and throat.

[4]  G. Peretti,et al.  Transnasal Approach to the Orbital Apex and Cavernous Sinus , 2013, The Annals of otology, rhinology, and laryngology.

[5]  N. Tanriover,et al.  Transcranial superior orbitotomy for the treatment of intraorbital intraconal tumors: surgical technique and long-term results in single institute , 2012, Neurosurgical Review.

[6]  E. de Divitiis,et al.  Lateral Orbitotomy for Removal of Sphenoid Wing Meningiomas Invading the Orbit , 2010, Neurosurgery.

[7]  F. Biglioli,et al.  Surgical approaches to cavernous haemangiomas of the orbit. , 2007, The British journal of oral & maxillofacial surgery.

[8]  M. Kosaka,et al.  Novel Strategy for Orbital Tumor Resection: Surgical "Displacement" Into the Maxillary Cavity , 2006, The Journal of craniofacial surgery.

[9]  K. Cockerham,et al.  A reappraisal of surgery for orbital tumors. Part I: extraorbital approaches. , 2001, Neurosurgical focus.

[10]  T. Nikaido,et al.  High serum IgG4 concentrations in patients with sclerosing pancreatitis. , 2001, The New England journal of medicine.

[11]  F. Biglioli,et al.  Reconstruction of the orbital walls in surgery of the skull base for benign neoplasms. , 2000, International journal of oral and maxillofacial surgery.

[12]  H. Arai,et al.  Lateral approach to intraorbital lesions: anatomic and surgical considerations. , 1996, Neurosurgery.

[13]  P. Rubin,et al.  Surgical methods and approaches in the treatment of orbital disease. , 1996, Neuroimaging clinics of North America.

[14]  T. D. Duane,et al.  Duane's Clinical Ophthalmology , 1993 .

[15]  C. McCord.  Complications of orbital surgery. , 1988, Otolaryngologic clinics of North America.

[16]  R. Saunders,et al.  Evaluation of and access to posterior orbital tumors , 1983, The Laryngoscope.