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A plea for postero-lateral orbitotomy for microsurgical removal of tumours of the orbital apex

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Summary

Lateral orbitotomy including the lateral rim of the orbit allows adequate surgical exposure for most intraorbital tumours. However, by dealing with intraconal lesions located deep at the orbital apex, the control of the posterior aspect of the growth is often less than optimal. The postero-lateral route, with bone removal mainly confined to the greater sphenoidal wing, allows a more direct approach to the posterior portion of these lesions along a plane tangential to the lateral aspect of the temporal pole. A modified surgical technique is reported, which in three consecutive cases allowed radical removal of pure apical tumours without added neurological deficits.

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References

  1. Alper MG, Aitken PhA (1982) Anterior and lateral microsurgical approaches to orbital pathology. In: Schmidek HHet al (eds) Operative neurosurgical techniques. Indications, methods, and results, vol 1. Grune and Stratton, New York, pp 245–277

    Google Scholar 

  2. Berke RN (1953) A modified Kroenlein operation. Trans Am Ophthalmol Soc 51: 193–231

    Google Scholar 

  3. Brihaye J (1976) Neurosurgical approaches to orbital tumours. In: Krayenbuhl Het al (eds) Advances and technical standards in neurosurgery, vol 3. Springer, Wien New York, pp 103–121

    Google Scholar 

  4. Caron JP, Comoy J, Julian H, Houdart R (1968) Discussion des voies d'abord de l'orbite, dans les cas d'exophtalmies neurochirurgicales. Neurochirurgie 14: 933–940

    PubMed  Google Scholar 

  5. Colohan AT, Jane JA, Newman SA, Maggio WW (1985) Frontal sinus approach to the orbit. Technical note. J Neurosurg 63: 811–813

    PubMed  Google Scholar 

  6. Cophignon J, Clay C, Marchac D, Rey A (1974) Abord sousfrontal elargi des tumeurs de l'orbite. Neurochirurgie 20: 161–167

    PubMed  Google Scholar 

  7. Dandy WE (1941) Results following the transcranial operative attack on orbital tumors. Arch Ophthalmol 25: 191–216

    Google Scholar 

  8. Galbraith JEK, Sullivan JH (1973) Decompression of the perioptic meninges for relief of papilledema. Am J Ophthalmol 76: 687–692

    PubMed  Google Scholar 

  9. Guillaume JM (1943) Traitement chirurgical des tumeurs du pôle postérieur de l'orbite et de la region rétrorbitaire. Presse Méd 19: 259–260

    Google Scholar 

  10. Hamby WB (1964) Pterional approach to the orbits for decompression or tumor removal. J Neurosurg 21: 15–18

    PubMed  Google Scholar 

  11. Hassler W, Eggert HR (1985) Extradural and intradural microsurgical approaches to lesions of the optic canal and the superior orbital fissure. Acta Neurochir (Wien) 74: 87–93

    Google Scholar 

  12. Housepian EM (1978) Microsurgical anatomy of the orbital apex and principles of transcranial orbital exploration. Clin Neurosurg 25: 556–573

    PubMed  Google Scholar 

  13. Jane JA, Park TS, Poberskin LH, Winn HR, Butler AB (1982) The supraorbital approach: technical note. Neurosurgery 11: 537–542

    PubMed  Google Scholar 

  14. Krayenbuhl H (1967) Unilateral exophtalmos. Clin Neurosurg 14: 45–71

    Google Scholar 

  15. Maroon JC, Kennerdell JS (1976) Lateral microsurgical approach to intraorbital tumors. J Neurosurg 44: 556–561

    PubMed  Google Scholar 

  16. Maroon JC, Kennerdell JS (1984) Surgical approaches to the orbit. Indications and techniques. J Neurosurg 60: 1226–1235

    PubMed  Google Scholar 

  17. Maroon JC, Kennerdell JS (1985) Tumors of the orbit. In: Wilkins RHet al (eds) Neurosurgery, vol 1. McGraw-Hill, New York, pp 964–976

    Google Scholar 

  18. Niho S, Niho M, Niho K (1970) Decompression of the optic canal by the transethmoidal route and decompression of the supperior orbital fissure. Can J Ophthalmol 5: 22–40

    PubMed  Google Scholar 

  19. Offret G, Haye C (1971) Tumeurs de l'oeil et des annexes oculaires. Masson, Paris, pp 525–550

    Google Scholar 

  20. Sofferman RA (1982) Sphenoethmoidal approach to the optic nerve. In: Schmidek HHet al (eds) Operative neurosurgical techniques. Indications, methods, and results, vol 1. Grune and Stratton, New York, pp 279–290

    Google Scholar 

  21. Stallard HB (1960) A plea for lateral orbitotomy with certain modifications. Br J Ophthalmol 44: 718–723

    Google Scholar 

  22. Vergez A (1958) Les voies temporales d'abord de l'orbite. Arch Ophthalmol 18: 294–343

    Google Scholar 

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Authors and Affiliations

  1. Department of Neurosurgery, University of Genoa Medical School, Genoa, Italy

    G. L. Viale & A. Pau

Authors
  1. G. L. Viale
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  2. A. Pau
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Viale, G.L., Pau, A. A plea for postero-lateral orbitotomy for microsurgical removal of tumours of the orbital apex. Acta neurochir 90, 124–126 (1988). https://doi.org/10.1007/BF01560566

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  • DOI: https://doi.org/10.1007/BF01560566

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