Combined Endonasal and Orbital Approach for Resection of Orbital Apical Tumors

Cohen, Liza M.; Grob, Seanna; Krantz, Kenneth B.; Feldman, Kenneth A.; Rootman, Daniel B.

doi:10.1055/s-0041-1725352

Cited by 1 publication

(1 citation statement)

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“…We gently mobilized the tumor into the nasal cavity using diluted epinephrine (<100,000)-soaked neuropathies and a suction elevator while minimizing bleeding. Bleeding and visibility are other issues when managing OCVMs, especially in the orbital apex 10. We discovered that bleeding could be controlled from the posterior feeders to the OCVM in epinephrine-soaked neuropathies.…”

Section: Discussionmentioning

confidence: 97%

Endonasal Endoscopic Removal of Orbital Cavernous Venous Malformation With Optic Neuropathy

Park

Cho

Son³

et al. 2022

Journal of Craniofacial Surgery

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Several surgical methods have been employed, but the management of orbital cavernous venous malformations at the orbital apex remains challenging. The authors present an endonasal endoscopy-assisted removal of an orbital apex cavernous venous malformation compressing the optic nerve with the addition of an inferomedial conjunctival approach. A 43-year-old Asian man presented with an orbital cavernous venous malformation incidentally found radiographically with a history of decreased vision of 20/50 oculus dexter (OD). The patient’s visual field index was 22%, with signs of optic neuropathy. An endonasal endoscopic procedure combining transconjunctival and caruncular orbitotomies was adopted because of its deep posterior placement inside the orbit. The cavernous venous malformation was removed without complications, and the visual function of the patients recovered. For these challenging lesions, an endonasal endoscopic technique with an anterior orbitotomy may be a promising alternative. Simple packing material may adequately repair the medial orbital wall; there were no complications during the 12-month follow-up period.

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Section: Discussionmentioning

confidence: 97%