Lateral Orbitotomy

  • Jill S. MelicherEmail author
  • Jeffrey A. Nerad


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.


Orbitotomy Orbital tumor Lateral orbitotomy Lacrimal gland 

Supplementary material

419986_5_En_49_MOESM1_ESM.mp4 (85.5 mb)
Video 49.1 Lateral canthotomy incision for access to lateral orbit. Courtesy of Richard C. Allen, MD, PhD, FACS. (MP4 87555 kb)
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Video 49.2 Lateral orbitotomy 1. Courtesy of Richard C. Allen, MD, PhD, FACS. (MP4 115768 kb)
419986_5_En_49_MOESM3_ESM.mp4 (70.4 mb)
Video 49.3 Lateral orbitotomy 2. Courtesy of Richard C. Allen, MD, PhD, FACS. (MP4 72115 kb)
419986_5_En_49_MOESM4_ESM.mp4 (129.1 mb)
Video 49.4 Lateral orbitotomy 3. Courtesy of Richard C. Allen, MD, PhD, FACS. (MP4 132161 kb)
419986_5_En_49_MOESM5_ESM.mp4 (140.8 mb)
Video 49.5 Lateral orbitotomy with removal of the lateral orbital rim. Courtesy of Richard C. Allen, MD, PhD, FACS. (MP4 144157 kb)
419986_5_En_49_MOESM6_ESM.mp4 (220.1 mb)
Video 49.6 Lateral approach for an optic nerve sheath fenestration. Courtesy of Richard C. Allen, MD, PhD, FACS. (MP4 225332 kb)

Suggested Readings

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Ophthalmic Plastics and Reconstructive SurgeryMinnesota Eye Consultants, PAMinnetonkaUSA
  2. 2.Department of Ophthalmic Plastic and Reconstructive surgeonCincinnati Eye InstituteBlue AshUSA

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