The lateral orbitotomy provides access to the intraconal and extraconal space in the inferior lateral and superior lateral quadrants, as well as the access to the optic nerve. It is the preferred approach for excision of lacrimal gland tumors. Multiple different incisions can be utilized to perform this procedure. Use of a bone flap allows enhanced exposure; however, access to much of the lateral orbit can be achieved without bone removal. With meticulous attention to detail, the lateral orbitotomy provides abundant access to much of the orbit with an excellent cosmetic result.
KeywordsOrbitotomy Orbital tumor Lateral orbitotomy Lacrimal gland