CASE REPORT   

Chirurgia 2018 August;31(4):154-7

DOI: 10.23736/S0394-9508.17.04771-4

Copyright © 2017 EDIZIONI MINERVA MEDICA

language: English

Mini-pterional-orbital approach with lateral orbitotomy for surgical resection of giant orbital hemangioma

Delia CANNIZZARO ^{1, 2} ✉, Giulio MAIRA ^{1, 2}, Andrea CARDIA ¹, Maurizio FORNARI ¹

¹ Department of Neurosurgery, Humanitas Clinical and Research Center, Rozzano, Milan, Italy; ² Department of Neurology, Psychiatry and Neurosurgery, “Sapienza” University, Rome, Italy

Lateral orbitotomy, a more straightforward and less-invasive method than the transcranial approach, is primarily used for intraorbital and retrobulbar lesion surgeries. Minimally invasive pterional-orbital approaches can be associated with lateral orbitotomy, for wide retrobulbar lesions that cannot be reached through common access. The authors provide a technical element to surgical removing wide retrobulbar lesions, respecting a functional and cosmetic outcome. Total removal of retrobulbar lesion, absence of neurological deficit or enophtalmo/ propotsosis. No visual worsening or ocular movement impairment occurred. The mini-pterional-orbital approach with lateral orbitotomy causes less tissue damage; provides control of the surgical area, and allows for complete lesion removal, as well as restoration of orbital anatomy.

KEY WORDS: Orbital neoplasms - Surgery - Hemangioma