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Case Reports
. 2014 Jul-Dec;5(2):217-20.
doi: 10.4103/0975-5950.154841.

Lateral orbital approach: Gateway to intraorbital lesions

L K Surej Kumar  1 , Moni K Vinod  2 , P Varun Menon  1
Affiliations
Case Reports

Lateral orbital approach: Gateway to intraorbital lesions

L K Surej Kumar et al. Natl J Maxillofac Surg. 2014 Jul-Dec.

Abstract

Several approaches to the intraorbital space have been described in the literature. Selection of a proper approach to intraorbital lesions depends on various factors including the location of the tumor, the size of the lesion, and the probable pathology anticipated. The approach should provide a good exposure of intraorbital anatomical structures, allow their functional preservation, and provide good cosmetic results. Intraconal lesions of the orbit usually necessitate transcranial approaches although some intraconal and laterally situated lesions could be removed effectively via lateral orbitotomy. Lateral orbitotomy is a well-known approach for lesions of the lateral orbital cone. In this case report, the lateral orbital approach has been used for exposure of intraorbital lesion, as it is minimally invasive compared to the transcranial approach.

Keywords: Minimally invasive surgery; lateral orbital approach; orbit; tumor.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
Right eye proptosis
Figure 2
Figure 2
(a) MRI showing a large enhancing mass occupying the superolateral portion of the orbit; (b) MRI showing a large enhancing mass occupying the superolateral portion of the orbit
Figure 3
Figure 3
Two holed titanium plates were adapted in position in the superior and inferior planned cuts
Figure 4
Figure 4
Tumor was exposed
Figure 5
Figure 5
Tumor removed in toto
Figure 6
Figure 6
(a) The osteotomized bone segment; (b) Osteotomized bone replaced in the prepositioned area
Figure 7
Figure 7
The subcutaneous tissue and skin were closed with vicryl and prolene, respectively
Figure 8
Figure 8
Picture of the histopathological slide
See this image and copyright information in PMC

References

    1. Natori Y, Rhoton AL., Jr Transcranial approach to the orbit: Microsurgical anatomy. J Neurosurg. 1994;81:78–86. - PubMed
    1. Acciarri N, Giulioni M, Padovani R, Gaist G, Pozzati E, Acciarri R. Orbital cavernous angiomas: Surgical experience on a series of 13 cases. J Neurosurg Sci. 1995;39:203–9. - PubMed
    1. Leone C, Wissinger J. Surgical approach to diseases of the orbital apex. Ophthalmology. 1988;95:391–7. - PubMed
    1. Shore JW. The fornix approach to the inferior orbit. Adv Opthal Plast Reconstr Surg. 1987;6:377–85. - PubMed
    1. Arai H, Sato K, Katsuta T, Rhoton AL., Jr Lateral approach to intraorbital lesions: Anatomic and surgical Considerations. Neurosurgery. 1996;39:1157–63. - PubMed

Publication types