Orbital Tumors Excision without Bony Marginotomy under Local and General Anesthesia
Joint Authors
Goldberg, Robert A.
Rootman, Daniel B.
Nassiri, Nariman
Samimi, David B.
Shadpour, Joseph M.
Source
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-04-14
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
To present our experience of removing middle to deep orbital tumors using a combination of minimally invasive soft tissue approaches, sometimes under local anesthesia.
Methods.
In this retrospective case series, 30 patients (13 males and 17 females) underwent tumor removal through eyelid crease (17 eyes), conjunctival (nine eyes), lateral canthal (two eyes), and transcaruncular (two eyes) approaches.
All tumors were located in the posterior half of the orbit.
Six cases were removed under monitored anesthesia care with local block, and 24 were under general anesthesia.
Results.
The median (range) age and follow-up duration were 48.5 (31–87) years old and 24.5 (4–375) weeks, respectively.
Visual acuity and ocular motility showed improvement or no significant change in all but one patient at the latest followup.
Confirmed pathologies revealed cavernous hemangioma (15 cases), pleomorphic adenoma (5 cases), solitary fibrous tumor (4 cases), neurofibroma (2 cases), schwannoma (2 cases), and orbital varix (1 case).
None of the patients experienced recurrence.
Conclusions.
Creating a bony marginotomy increases intraoperative exposure of the deep orbit but adds substantial time and morbidity.
Benign orbital tumors can often be removed safely through small soft-tissue incisions, without bone removal and under local anesthesia.
American Psychological Association (APA)
Goldberg, Robert A.& Rootman, Daniel B.& Nassiri, Nariman& Samimi, David B.& Shadpour, Joseph M.. 2014. Orbital Tumors Excision without Bony Marginotomy under Local and General Anesthesia. Journal of Ophthalmology،Vol. 2014, no. 2014, pp.1-5.
https://search.emarefa.net/detail/BIM-1042475
Modern Language Association (MLA)
Goldberg, Robert A.…[et al.]. Orbital Tumors Excision without Bony Marginotomy under Local and General Anesthesia. Journal of Ophthalmology No. 2014 (2014), pp.1-5.
https://search.emarefa.net/detail/BIM-1042475
American Medical Association (AMA)
Goldberg, Robert A.& Rootman, Daniel B.& Nassiri, Nariman& Samimi, David B.& Shadpour, Joseph M.. Orbital Tumors Excision without Bony Marginotomy under Local and General Anesthesia. Journal of Ophthalmology. 2014. Vol. 2014, no. 2014, pp.1-5.
https://search.emarefa.net/detail/BIM-1042475
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1042475