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The transmaxillary endoscopic approach to the inferior part of the orbit: How I do it

  • How I Do it - Neurosurgical Techniques
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Abstract

Background

Transmaxillary endoscopic approach to the inferior part of the orbit was demonstrated on cadaveric preparations; however, its clinical application has not been reported. We describe a clinically useful technique of the transmaxillary approach to the lower orbit.

Methods

A four-hand technique is essential for extensive preparation within the orbit; therefore, the tools have to be introduced into the maxillary sinus through two ports: either through the canine fossa and antrostomy or through antrostomy using the bi-nostril transseptal approach.

Conclusion

Intraorbital pathologies located in the inferior retrobulbar space can be successfully operated on using the transmaxillary endoscopic approach.

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References

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Conflict of interest

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Authors and Affiliations

  1. Department of Neurosurgery, Medical University of Bialystok, M. Sklodowskiej-Curie 24A, 15-276, Bialystok, Poland

    Tomasz Lyson & Zenon Mariak

  2. Department of Otolaryngology, Medical University of Bialystok, Bialystok, Poland

    Andrzej Sieskiewicz & Marek Rogowski

Authors
  1. Tomasz Lyson
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  2. Andrzej Sieskiewicz
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  3. Marek Rogowski
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  4. Zenon Mariak
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Corresponding author

Correspondence to Tomasz Lyson.

Electronic supplementary material

Below is the link to the electronic supplementary material.

Video demonstrates essential stages of two bi-portal endoscopic procedures with basic clinical data of the patients. In the first patient the lower orbit was approached through the canine fossa and transnasal antrostomy, in the second patient through antrostomy using the bi-nostril approach (MPG 23621 kb)

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Lyson, T., Sieskiewicz, A., Rogowski, M. et al. The transmaxillary endoscopic approach to the inferior part of the orbit: How I do it. Acta Neurochir 157, 625–628 (2015). https://doi.org/10.1007/s00701-015-2359-y

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  • DOI: https://doi.org/10.1007/s00701-015-2359-y

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