Removal of an Orbital Apex Hemangioma using an Endoscopic Transethmoidal Approach: Technical Note

Karaki, Masayuki; Kobayashi, Ryuichi; Mori, Nozomu

doi:10.1227/01.neu.0000220027.49155.80

Cited by 51 publications

(64 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Our dissection work [12] confirms this statement. Until today, clinical experience on this topic is scanty [4][5][6][7][8][9][10] and, at the moment, transnasal endoscopic intraorbital surgery has to be considered under investigation, and proposed and performed in selected cases only by experienced surgeons. From an anatomical view point, the orbit is a highly complex region where critical structures are packed into a small space.…”

Section: Discussionmentioning

confidence: 99%

“…Pioneeristic clinical experiences addressing the medial orbital spaces by means of an endoscopic transnasal route have been published in the English Literature [4][5][6][7][8][9], with only one small series of 6 cases [10]. As a whole, intraorbital space occupying lesions always pose a challenge both in terms of definite surgical removal as well as preoperative sampling for histopathological examination.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Endoscopic transnasal intraorbital surgery: our experience with 16 cases

Castelnuovo

Dallan

Locatelli

et al. 2012

Eur Arch Otorhinolaryngol

109

View full text Add to dashboard Cite

The objective of the study is to present our multicentric experience on intraorbital lesions managed by means of an endonasal endoscopic approach. The study design used was multi-institutional retrospective review. We collected data on 16 intraorbital medially-located lesions, all managed by means of an endonasal route, treated in four different skull base centers. We retrospectively reviewed the technical details, complications, histology, and general outcome. The endoscopic endonasal approach was effective in removing completely intraorbital extra-intraconal tumors in 8 cases, in performing biopsies for histological diagnosis in 6 intraorbital intraconal tumors, and in draining 1 extraconal abscess. No major complications were observed; in particular, there was no optic nerve damage. Minor, temporary complications (diplopia) were seen in 3 cases; only 2 patients experienced a permanent diplopia related to medial rectus muscle impairment, in 1 case associated with enophthalmos. Our preliminary multi-centric clinical experience suggests that medially located intraorbital lesions, and in particular the infero-medial ones, can be successfully and safely managed by such an approach. The well-known advantages of the endoscopic techniques, namely the lack of external scars, less bleeding, shorter hospital stay, and fewer complications, are confirmed.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Endoscopic transnasal intraorbital surgery: our experience with 16 cases

Castelnuovo

Dallan

Locatelli

et al. 2012

Eur Arch Otorhinolaryngol

109

View full text Add to dashboard Cite

show abstract

“…Twelve papers were identified and included which contained patient data for 17 cases [5][6][7][8][9][10][11][12][13][14][15][16]. Six patients were male and eleven were female.…”

Section: Resultsmentioning

confidence: 99%

Purely endoscopic trans-nasal management of orbital intraconal cavernous haemangiomas: a systematic review of the literature

Lenzi

Bleier

Felisati

et al. 2015

Eur Arch Otorhinolaryngol

View full text Add to dashboard Cite

The surgical management of medial and inferior orbital lesions is demanding via traditional external approach, since the conic-shaped surgical field is narrow and damage to neural, muscular or vascular structures of the orbit can have serious consequences. In recent years, the evolution of endoscopic endonasal approaches for lesions that goes beyond the nose brought the orbit to the attention of rhinosurgeons. If procedures such as transnasal orbital decompression and lacrimal pathways surgery have been described some decades ago, the last frontier of transnasal orbital surgery, namely intraconal tumor surgery, is a new and rapidly expanding field. Papers describing endoscopic endonasal approaches to the orbit appeared in the international literature, but most of them contain a small number of cases, also because the relatively rarity of intraorbital lesions. We herein report the results of a systematic review of the literature regarding the endoscopic endonasal approach to intraconal cavernous haemangiomas, the most common benign orbital lesion. The endoscopic management of intraconal cavernous haemangiomas results feasible and safe. A critical step of this kind of surgery is the management of the medial rectus muscle, mandatory to expose the intraconal space.

show abstract

“…Trans-frontal, trans-fronto-ethmoidal and transmaxillary approaches have the disadvantage of possible injuries to a number of nontumor structures 19 . Displacement of tumor lesions to the maxillary sinus has been used to prevent the traumatic and dangerous excessive traction of hemangiomas 20 .…”

Section: Casementioning

confidence: 99%

Giant cavernoma of the orbit: clinical and surgical considerations

Chaddad-Neto

Lopes

Filho³

et al. 2007

Arq. Neuro-Psiquiatr.

View full text Add to dashboard Cite

-Cavernous hemangiomas of the orbit are benign, hamartomatous, vascular lesions, more frequent in middle-aged women, representing the most common benign primitive neoplasm of the orbit. Several therapeutic modalities and surgical approaches have been described, in order to preserve the normal orbital structures. We describe the case of a patient with a volumous orbital cavernoma, approached by a fronto-orbito-zigotomy. A review on diagnostic modalities and surgical approaches is also presented.KEY WORDS: cavernoma, surgical approach, fronto-orbito-zigotomy. Cavernoma gigante da órbita: considerações clínico-cirúrgicasRESUMO -Os hemangiomas cavernosos da órbita são lesões vasculares hamartomatosas benignas, mais frequentes em doentes do sexo feminino e de meia idade, constituindo a neoplasia benigna primitiva da órbi-ta mais comum. Diversas modalidades terapêuticas e abordagens cirúrgicas têm sido descritas com a finalidade de preservar as estruturas orbitárias. Apresentamos o caso de uma doente com volumoso cavernoma da órbita esquerda, intervencionado por abordagem fronto-órbito-zigomática. É efetuada ainda revisão das modalidades de diagnóstico imageológico e das diferentes estratégias cirúrgicas descritas na literatura. PALAVRAS-CHAVE: cavernoma, abordagem cirúrgica, fronto-órbito-zigomática.

show abstract

Removal of an Orbital Apex Hemangioma using an Endoscopic Transethmoidal Approach: Technical Note

Abstract: An endoscopic transethmoidal approach, which requires no skin incision, is a minimally invasive surgery for retrobulbar orbital tumor, leading to excellent cosmetic results with less bleeding.

Cited by 51 publications

References 16 publications

Endoscopic transnasal intraorbital surgery: our experience with 16 cases

Endoscopic transnasal intraorbital surgery: our experience with 16 cases

Purely endoscopic trans-nasal management of orbital intraconal cavernous haemangiomas: a systematic review of the literature

Giant cavernoma of the orbit: clinical and surgical considerations

Contact Info

Product

Resources

About