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Minerva Oftalmologica 2020 March-June;62(1-2):9-11

DOI: 10.23736/S0026-4903.20.01839-5

Copyright © 2020 EDIZIONI MINERVA MEDICA

language: English

Ulivieri’s extended lateral approach to orbital surgery: technical notes

Simone ULIVIERI 1 , Antonio GIORGIO 2

1 Department of Neurosurgery, Santa Maria alle Scotte University Hospital, Siena, Italy; 2 Department of Medicine, Surgery and Neuroscience, University of Siena, Siena, Italy



Selection of the approach to intraorbital lesions depends on various factors including size and location. We present here an extended lateral approach to orbital surgery, consisting in the frontal drilling for lesions with greater supero-medial development or more posterior exposure, obtained by drilling the big wing of the sphenoid bone for lesions of the orbital apex or lateral and lower quadrant of the orbit. In our experience, the extended lateral approach represents the way that allows treating, through the use of microfresa and optimal anatomical knowledge, any orbital lesion, both intra- and extra-conic, located in any quadrant.


KEY WORDS: Orbit; Ophthalmologic surgical procedures; Eye enucleation

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