A reappraisal of surgery for orbital tumors. Part I: extraorbital approaches

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  • Department of Neurosurgery, University of Pittsburgh Medical Center; and Department of Ophthalmology, Allegheny General Hospital, Pittsburgh, Pennsylvania
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Orbital lesions are variable in nature and location. Their management can be challenging, and surgical intervention is often needed. Although a significant percentage of these tumors are treated by the ophthalmologist alone, collaboration with a neurosurgeon is often required, especially for tumors that are located deep within the orbit, are large, or have an intracranial extension. Technical advances and modifications in surgical technique have decreased surgery-related morbidity and increased its success. The authors describe their rationale in the choice of a surgical approach, the surgical techniques for extraorbital approaches, and the new surgical adjuvants.

Abbreviations used in this paper:ENT = ear, nose, throat; MR = magnetic resonance.

Orbital lesions are variable in nature and location. Their management can be challenging, and surgical intervention is often needed. Although a significant percentage of these tumors are treated by the ophthalmologist alone, collaboration with a neurosurgeon is often required, especially for tumors that are located deep within the orbit, are large, or have an intracranial extension. Technical advances and modifications in surgical technique have decreased surgery-related morbidity and increased its success. The authors describe their rationale in the choice of a surgical approach, the surgical techniques for extraorbital approaches, and the new surgical adjuvants.

Abbreviations used in this paper:ENT = ear, nose, throat; MR = magnetic resonance.

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Contributor Notes

Address reprint requests to: Ghassan K. Bejjani, M.D., Tristate Neurosurgical Associates-UPMC, 200 Lothrop Street, Suite 5C, Pittsburgh, Pennsylvania 15213. email: bejjanigk@msx.upmc.edu.

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