Optimising surgical approaches to the orbit — a retrospective analysis of a series of forty orbital tumours

Abstract

The orbit encases the ocular globe with its appendages. Tumours of the orbit include a broad spectrum of pathologies [1][2][3]. Its unique anatomi-cal outline and its proximity to the cranial cavity make surgical approaches to the orbit a challenging pursuit [4]. Different surgical corridors have been described to access the orbit, each customised this article is available in open access under Creative Common attribution-Non-Commercial-No Derivatives 4.0 International (CC BY-NC-ND 4.0) license, allowing to download articles and share them with others as long as they credit the authors and the publisher, but without permission to change them in any way or use them commercially

Site-based customized surgical approaches for orbital lesion and their outcomes — A case series

“…Orbital tumours are of two types, primary and secondary, which involve the orbit from some other site. In adults, cavernous hemangiomas, lymphoid tumours, and meningiomas are the most frequent primary orbital tumours; in children, dermoid cysts, capillary hemangiomas, and rhabdomyosarcoma are more common [ 6 , 7 ].…”

“…An orbital segment of the optic nerve is under direct view; hence, it can be protected while removing the tumour. The disadvantage is that it provides a restricted area with exposure to sinus [ 3 , 6 ].…”

“…This method avoids the necessity for bone excision, making it less traumatic and better from a cosmetic standpoint. Nonetheless, the transconjunctival technique is not recommended for medium- and large-sized tumours due to the constrained surgical route [ 6 ]. The frontotemporal orbitozygomatic approach allows adequate exposure of the superior and lateral portions of the posterior orbit.…”