Skip to main content

Advertisement

SpringerLink
Log in

The medial orbito-frontal approach for orbital tumors: a How I Do It

  • How I Do it - Neurosurgical Techniques
  • Published:
Acta Neurochirurgica Aims and scope Submit manuscript

Abstract

Background

A variety of lesions can affect the orbit. Surgical approaches must be available to provide 360 degrees of access. For tumors occupying the superomedial intraconal quadrant, there is a rationale to selecting the medial orbito-frontal approach.

Methods

This article outlines the relevant surgical anatomy and the different surgical steps of this approach.

Results

The medial orbito-frontal approach offers a full exposure of the superomedial intraconal quadrant and avoids crossing the plane of the optic nerve.

Conclusion

In selected intraconal tumor cases, this transcranial epidural intraorbital approach is a straightforward corridor through reliable landmarks that can be routinely performed.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

Abbreviations

CN,:

cranial nerve

CSF,:

cerebro-spinal fluid

ON,:

optic nerve

SOF,:

superior orbital fissure

References

  1. Aviv RI, Casselman J (2005) Orbital imaging : Part 1. Normal anatomy. ClinRadiol 60(3):279–287

    CAS  Google Scholar 

  2. Aviv RI, Miszkiel K (2005) Orbital imaging: Part 2. Intraorbital pathology. ClinRadiol 60(3):288–307

    CAS  Google Scholar 

  3. DeMonte F, Tabrizi P, Culpepper SA, Suki D, Soparkar CN, Patrinely JR (2002) Ophthalmological outcome after orbital entry during anterior and anterolateral skull base surgery. J Neurosurg 97:851–858

    Article  PubMed  Google Scholar 

  4. Rhoton AL Jr (2002) The orbit. Neurosurgery 51(4 Suppl):S303–S334

    PubMed  Google Scholar 

  5. Schick U, Dott U, Hassler W (2003) Surgical treatment of orbital cavernomas. Surg Neurol 60(3):234–244

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Neurosurgery, North University Hospital, APHM, 13015, Marseille, France

    Lucas Troude, Florian Bernard & Pierre-Hugues Roche

Authors
  1. Lucas Troude
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Florian Bernard
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Pierre-Hugues Roche
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Lucas Troude.

Ethics declarations

Conflict of interest

None of the authors disclose any conflict of interest or any financial disclosure in relation with this study. The manuscript has not been previously published in whole or in part or submitted elsewhere for review.

Informed consent

The patient consented to submission of this How I Do It to the journal.

Electronic supplementary material

ESM 1

Video: Medial orbito-frontal approach: The frontal bone flap was shaped behind the supraorbital rim. A transcranial epidural intraorbital approach was performed through an osteoclastically 2 × 2-cm orbital roof window. Incision of the periorbita exposed the frontal nerve. Dissection was directed through the space between the superior oblique muscle and the levator, according to the superomedial position of this intraconal mass. The surface of an indurated purple mass was seen in depth, typical of a hemangioma. Due to its solid texture and adhesion to the orbital fat, the tumor mass was removed in a one-piece fashion. The periorbita was repaired with a dural patch and maintained with fibrin glue. (MP4 109,419 kb)

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Troude, L., Bernard, F. & Roche, PH. The medial orbito-frontal approach for orbital tumors: a How I Do It. Acta Neurochir 159, 2223–2227 (2017). https://doi.org/10.1007/s00701-017-3319-5

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00701-017-3319-5

Keywords

Search

Navigation