Skip to main content
SpringerLink
Log in
Book cover

Advances and Technical Standards in Neurosurgery pp 73–117Cite as

Neurosurgical Concepts and Approaches for Orbital Tumours

  • Chapter

Part of the book series: Advances and Technical Standards in Neurosurgery ((NEUROSURGERY,volume 31))

Abstract

Orbital tumours are lesions that appear within the orbital craniofacial borders. To this end, treatment of these tumours is assured by teams of different specialists. Furthermore, these pathologies are different in adults and in children. We have endeavoured, in this chapter, to highlight the specifically neurosurgical features of orbital tumours or, to be more precise, tumours affecting the posterior two thirds of the orbit and tumours originating in or intruding into the optic canal. The list of aetiologies is long. After recapitulating the main types of tumour (as well as those of most concern), we have also studied the different stages of surgery, namely approaches and reconstructions which we have illustrated at each stage by a tumour that, in our view, seemed emblematic of the problem in question: the lateral eyebrow approach for schwannoma and cavernous angioma, the transorbital subfrontal approach for optic nerve glioma, the pterional and orbital approaches for spheno-orbital meningioma, problems with reconstruction and with plexiform neurofibroma affecting the orbit and fibrous dysplasia of bone.

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

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   129.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   169.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD   169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Adegbite AB, Kahn MI, Paine KWE, Tan LK (1983) The recurrence of intracranial meningiomas after surgical treatment. J Neurosurg 58: 51–56

    CAS  PubMed  Google Scholar 

  2. Al Mefty O, Fox JL (1985) Supero-lateral orbital exposure and reconstruction. Surg Neurol 23: 609–613

    Google Scholar 

  3. Andrews DW, Faroozan R, Yang BP, Hudes RS, Werner-Wasik M, Kim SM, Sergott RC, Savino PJ, Shields J, Shields C, Downes MB, Simeone FA, Goldman HW, Curran WJ (2002) Fractionated stereotactic radiotherapy for the treatment of optic nerve sheath meningiomas: preliminary observations of 33 optic nerves in 30 patients with historical comparison to observation with or without prior surgery. Neurosurgery 51: 890–904

    PubMed  Google Scholar 

  4. Benedict WL (1950) Diseases of the orbit. Amer J Ophthal 33: 1–10

    CAS  PubMed  Google Scholar 

  5. Bilaniuk LT (1999) Orbital vascular lesions. The radiologic clinics of North-America (Imaging in Ophtalmology II) 37: 169–183

    CAS  Google Scholar 

  6. Binet EF, Kieffer SA, Martin SH, Peterson HO (1969) Orbital dysplasia in neurofibromatosis. Radiology 93:829–833

    CAS  PubMed  Google Scholar 

  7. Blinkov SM, Gabibov GA, Tcherekayev VA (1986) Transcranial surgical approaches to the orbital part of the optic nerve: an anatomical study. J Neurosurg 65: 44–47

    CAS  PubMed  Google Scholar 

  8. Brihaye J, Hoffmann GR, François J (1968) Les exophtalmies neurochirurgicales. Neurochirurgie 3: 13–485 (in French)

    Google Scholar 

  9. Brotchi J, Bonnal JP (1991) Lateral and middle sphenoid wing meningiomas. In: Al Mefty O (ed) Meningiomas. Raven Press, New York

    Google Scholar 

  10. Burrows EH (1978) Orbitocranial asymetry. Br J Radiol 51:771–781

    CAS  PubMed  Google Scholar 

  11. Carroll GS (1999) Peripheral Nerve Tumors of the orbit. The radiologic clinics of north-america (Imaging in Ophtalmology II) 37: 195–202

    CAS  Google Scholar 

  12. Chen YR, Breidahl A, Chang CN (1997) Optic nerve decompression in fibrous dysplasia: indications, efficacy, and safety. Plast Reconstr Surg 99: 22–30

    CAS  PubMed  Google Scholar 

  13. Chen YR, Kao CC (2000) Craniofacial Tumors and Fibrous Dysplasia. Mosby, St Louis

    Google Scholar 

  14. Cruveilhier J (1835) Anatomie Pathologique du Corps Humain. JB Balliere, Paris, pp 252, 464, 566 (in French)

    Google Scholar 

  15. Cushing H, Eisenhard TL (1938) Meningiomas: their classification, regional behaviour, life history and surgical end results. Charles C Thomas, Spring-field, pp 250–282

    Google Scholar 

  16. Delfini R, Missori P, Tarantino R, Ciappetta P, Cantore R (1996) Primary benign tumors of the orbital cavity: comparative data in a series of patients with optic nerve glioma, sheath meningioma, or neurinoma. Surg Neurol 45: 147–154

    CAS  PubMed  Google Scholar 

  17. Derome P (1972) Spheno-ethmoidal tumors. Possibilities for exeresis and surgical repair. Neurochirurgie 18: 1–164 (in French)

    PubMed  Google Scholar 

  18. Derome P, Visot A (1991) Bony reaction and invasion in meningiomas. In: Al Mefty O (ed) Meningiomas. Raven Press, New York

    Google Scholar 

  19. Desjardins L (2000) Ophtalmological tumours in children: diagnosis and therapeutic strategy. J Fr Ophtalm 23: 926–939 (in French)

    CAS  Google Scholar 

  20. Ducasse A (1999) Anatomy of the Orbit. In: Adenis JP, Morax S (Ed) Pathology of the orbit and the eyelids. Masson. Paris, pp 38–68 (in French)

    Google Scholar 

  21. Duffier JL and Al (1986) Orbital tumours in children. Arch Fr Pediatr 43: 133–139 (in French)

    Google Scholar 

  22. Durante F (1887) Contribution to endocranial surgery. Lancet 654–655

    Google Scholar 

  23. Dutton JJ (1992) Optic nerve sheath meningiomas. Surv Ophthalmol 37: 167–183

    CAS  PubMed  Google Scholar 

  24. Edgerton MT, Persing JA, Jane JA (1985) The surgical treatment of fibrous dysplasia. With emphasis on recent contributions from cranio-maxillo-facial surgery. Ann Surg 202: 459–479

    CAS  PubMed  Google Scholar 

  25. Enringen FM, Weiss FW (1995) Soft tissue tumors, 3rd edn. Mosby, St Louis, pp 821–881

    Google Scholar 

  26. Frazier CH (1913) An approach to the hypophysis through the anterior canial fossa. Ann Surg 145–152

    Google Scholar 

  27. Gaillard S, Lejeune JP, Pellerin P, Pertuzon B, Dhellemmes P, Christiaens JL (1995) Résultats à long terme du traitement chirurgical des osteo-méningiomes sphéno-orbitaires. Neurochirurgie 41:391–397 (in French)

    CAS  PubMed  Google Scholar 

  28. Gurland JE, Tenner M, Hornblass A, Wolintz AH (1976) Orbital neurofibromatosis: involvement of the orbital floor. Arch Ophthalmol 94: 1723–1725

    CAS  PubMed  Google Scholar 

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

    CAS  PubMed  Google Scholar 

  30. Havlik RJ, Boaz J (1998) Cranio-orbital-temporal neurofibromatosis: are we treating the whole problem? J Craniofac Surg 9:529–535

    CAS  PubMed  Google Scholar 

  31. Hollander MD et al (1999) Optic gliomas. The radiologic clinics of North-America (Imaging in Ophtalmology II) 37: 59–71

    CAS  Google Scholar 

  32. Hudson AC (1912) Primary tumors of the optic nerve. Rev Ophthalmo Hosp Rep 18: 317–439

    Google Scholar 

  33. Huson SM, Hughes RAC (1994) The neurofibromatoses. A pathogenetic and clinical overview. Chapman & Hall, London

    Google Scholar 

  34. Jackson IT, Laws ER, Jr, Martin RD (1983) The surgical management of orbital neurofibromatosis. Plast Reconstr Surg 71:751–758

    CAS  PubMed  Google Scholar 

  35. Jackson IT, Webster HR (1994) Craniofacial tumors. Clin Plast Surg 21: 633–648

    CAS  PubMed  Google Scholar 

  36. Jackson IT (2001) Management of craniofacial neurofibromatosis. Facial Plast Surg Clin North Am 9: 59–75

    CAS  PubMed  Google Scholar 

  37. Jacquemin C, Bosley TM, Liu D, Svedberg H, Buhaliqa A (2002) Reassessment of sphenoid dysplasia associated with neurofibromatosis type 1. Am J Neuroradiol 23:644–648

    PubMed  Google Scholar 

  38. Jacquemin C, Bosley TM, Svedberg H (2003) Orbit deformities in craniofacial neurofibromatosis type 1. Am J Neuroradiol 24:1678–1682

    PubMed  Google Scholar 

  39. Jakobiec FA, Font RL (1986) Ophthalmic pathology. WB Saunders, Philadelphia, pp 2603–2632

    Google Scholar 

  40. Kazim M (1992) Orbital Lymphangioma. Ophthalmology 99: 1588–1594

    CAS  PubMed  Google Scholar 

  41. Krohel GB, Rosenberg PN, Wright JE, Smith RS (1985) Localized orbital neurofibromas. Am J Ophthalmol 100: 458–464

    CAS  PubMed  Google Scholar 

  42. Li KC, Poon PY, Hinton et al (1984) MR imaging of orbital tumors with CT and ultrasounds correlations. J Comput Assist Tomogr 8: 1039–1047

    CAS  PubMed  Google Scholar 

  43. Macarez R, Bazin S, Civit T, Grubain S, De La Marnierre E, Tran Huu D, Guigon B (2003) Récupération fonctionnelle après chirurgie d’exérèse d’un méningiome sphéno-orbitaire: à propos d’une observation. J Fr Ophtalmol 26: 375–380 (in French)

    CAS  PubMed  Google Scholar 

  44. Mac Dermott MW, Durity FA, Rootman J, Woodhurst WB (1990) Combined fronto-temporal-orbitozygomatic approach for tumors of the sphenoid wing and orbit. Neurosurgery 26: 107–116

    Google Scholar 

  45. Marchac D, Cophignon J, Clay C (1975) Subtotal reconstruction of the orbit after destruction by benign tumors. Mod Probl Ophtalmol 14: 541–544

    CAS  Google Scholar 

  46. Marchac D (1984) Intracranial enlargement of the orbital cavity and palpebral remodeling for orbitopalpebral neurofibromatosis. Plast Reconstr Surg 73: 534–543

    CAS  PubMed  Google Scholar 

  47. Marchac D, Renier D, Dufier JL, Desjardins L (1984) Orbitopalpebral neurofibromatosis: orbital enlargement by an intracranial approach and palpebral correction. J Fr Ophtalmol 7: 469–48.

    CAS  PubMed  Google Scholar 

  48. Martin HM (1996) Neuroanatomy. Mc Graw-Hill, p 170 49.

    Google Scholar 

  49. Maroon JC, Kennerdell JS, Vidovich DV, Abla A, Sternau L (1994) Recurrent spheno-orbital meningioma. J Neurosurg 80: 202–208

    CAS  PubMed  Google Scholar 

  50. Mayer R, Brihaye J, Brihaye-van Geertruyden M, Noterman J, Schrooyen A (1975) Reconstruction of the orbital roof by acrylic prosthesis. Mod Probl Ophthalmol 14: 506–509

    CAS  PubMed  Google Scholar 

  51. Mirimanoff RO, Dosoretz DE, Linggood RM, Ojemann RG, Martuza RL (1985) Meningioma: analysis of recurrence and progression following neurosurgical resection. J Neurosurg 62: 18–24

    CAS  PubMed  Google Scholar 

  52. Mortada A (1977) Neurofibromatosis of lid and orbit in early childhood. J Pediatr Ophthalmol 14: 148–150

    CAS  PubMed  Google Scholar 

  53. Munro IR, Martin RD (1980) The management of gigantic benign craniofacial tumors: the reverse facial osteotomy. Plast Reconstr Surg 65: 776–785

    CAS  PubMed  Google Scholar 

  54. Munro IR, Chen YR (1981) Radical treatment for fronto-orbital fibrous dysplasia: the chain-link fence. Plast Reconstr Surg 67: 719–730

    CAS  PubMed  Google Scholar 

  55. Naffziger HC (1948) Exophtalmos: some principles of surgical management from the neurosurgical aspect. Am J Surg 75: 25–31

    Article  Google Scholar 

  56. Newman SA, Jane JA (1991) Meningiomas of the optic nerve, orbit, and anterior visual pathways. In: Al Mefty O (ed) Meningiomas. Raven Press, New York

    Google Scholar 

  57. Ngohou S, Herdan ML (1998) In: Adenis JP, Morax S (ed) Pathology of the orbit and the eyelids. Masson, Paris, pp 591–597 (in French)

    Google Scholar 

  58. Papay FA, Morales L, Flaharty P, Smith SJ, Anderson R, JM WA, et al (1995) Optic nerve decompression in cranial base fibrous dysplasia. J Craniofac Surg 6: 5–10

    CAS  PubMed  Google Scholar 

  59. Patten H (1977) Neurological differential diagnosis. Springer, Berlin Heidelberg New York Tokyo

    Google Scholar 

  60. Perez Moreiras JV, Prada Sanchez MC (1998) In: Adenis JP, Morax S (ed) Pathology of the Orbit and the Eyelids. Masson, Paris, pp 523–525 (in French)

    Google Scholar 

  61. Peter JC (1999) In: Choux M, Di Rocco, Hockley A, Walker M (eds) Pediatric Neurosurgery. Churchill, Livingstone, pp 561–580

    Google Scholar 

  62. Poole MD (1989) Experiences in the surgical treatment of cranio-orbital neurofibromatosis. Br J Plast Surg 42:155–162

    CAS  PubMed  Google Scholar 

  63. Rhoton AL, Natori Y (1996) The orbit and sellar region. Microsurgical anatomy and operative approaches. Thieme, New-York Stuttgart, pp 4–121

    Google Scholar 

  64. Rhoton AL, Natori Y (1996) The orbit and sellar region. Microsurgical anatomy and operative approaches. Thieme, New-York Stuttgart, pp 208–236

    Google Scholar 

  65. Rootman J, Robertson WD (1988) In: Rootman J (ed) Diseases of the orbit. Lippincott, Philadelphia, pp 310–325

    Google Scholar 

  66. Rovit RL, Sosman MC (1960) Hemicranial aplasia with pulsating exophthalmos. An unusual manifestation of von Recklinghausen’s disease. J Neurosurg 17: 104–121

    CAS  PubMed  Google Scholar 

  67. Scarpa A (1816) Trattato delle Principali Maletties degli Occhi. Edn Quinta Pavia Pietro Bizzoni, pp 507–509

    Google Scholar 

  68. Schick U, Hassler W (2003) Pediatric tumors of the orbit and optic pathway. Pediatr Neurosurg 38: 113–121

    Article  PubMed  Google Scholar 

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

    PubMed  Google Scholar 

  70. Schick U, Blayen J, Hassler W (2003) Treatment of orbital schwannomas and neurofibromas. Br J Neurosurg 17: 541–545

    CAS  PubMed  Google Scholar 

  71. Schick U, Dott U, Hassler W (2004) Surgical management of meningiomas involving the optic nerve sheath. J Neurosurg 101: 951–959

    PubMed  Google Scholar 

  72. Shanno G, Maus M, Bilyk et al (2001) Image-guided transorbital roof craniotomy via a suprabrow approach: a surgical serie of 72 patients. Neurosurgery 48: 559–567

    Article  CAS  PubMed  Google Scholar 

  73. Shermann RP (1984) Orbital dermoids: clinical presentation and management. Br J Ophthalmol 68: 642–652

    Google Scholar 

  74. Snyder BJ, Hanieh A, Trott JA, David DJ (1998) Transcranial correction of orbital neurofibromatosis. Plast Reconstr Surg 102: 633–642

    CAS  PubMed  Google Scholar 

  75. Stricker M, Van Der Meulen J, Raphael B, Mazzola R (1990) Craniofacial malformations. Livingstone, Edinburgh

    Google Scholar 

  76. Tanaka Y, Tajima S, Maejima S, Umebayashi M (1993) Craniofacial fibrous dysplasia showing marked involution postoperatively. Ann Plast Surg 30: 71–76

    CAS  PubMed  Google Scholar 

  77. Tessier P (1977) Reconstitution de l’Etage Antérieur de la Base du Crâne dans les tumeurs Bénignes Orbito-Craniennes. In: Rougier J, Tessier P, Hervouet F, Woillez M, Lekieffre M, Derome P (eds) Chirurgie Plastique Orbito-Palpebrale. Masson, Paris (in French)

    Google Scholar 

  78. Valvassori GE et al (1999) Imaging of the lymphoproliferative disorders. The radiologic clinics of North-America (Imaging in Ophtalmology II) 37: 135–150

    CAS  Google Scholar 

  79. Von Graefe A (1864) Zur Casuistik der Tumoren. Arc Ophtalmol 10:176–200 (in German)

    Google Scholar 

  80. Von Recklinghausen FD (1891) Die fibröse oder deformirende Osteitis, die Ostomalacie und die osteoplastische Carcinose in ihren gegenseitigen Beziehungen. Virchow Berlin (in German)

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Neurosurgery, Hôpital Central, Nancy University Hospital, Nancy Cedex, France

    J. C. Marchal & T. Civit

Authors
  1. J. C. Marchal
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. T. Civit
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Cambridge

    J. D. Pickard

  2. Ankara

    N. Akalan

  3. Roma

    C. Di Rocco

  4. Ljubljana

    V. V. Dolenc

  5. Erlangen

    R. Fahlbusch

  6. Lisbon

    J. Lobo Antunes

  7. Lyon

    M. Sindou

  8. Lausanne

    N. de Tribolet

  9. Utrecht

    C. A. F. Tulleken

Rights and permissions

Reprints and permissions

Copyright information

© 2006 Springer-Verlag/Wien

About this chapter

Cite this chapter

Marchal, J.C., Civit, T. (2006). Neurosurgical Concepts and Approaches for Orbital Tumours. In: Pickard, J.D., et al. Advances and Technical Standards in Neurosurgery. Advances and Technical Standards in Neurosurgery, vol 31. Springer, Vienna. https://doi.org/10.1007/3-211-32234-5_3

Download citation

  • DOI: https://doi.org/10.1007/3-211-32234-5_3

  • Publisher Name: Springer, Vienna

  • Print ISBN: 978-3-211-28253-3

  • Online ISBN: 978-3-211-32234-5

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation