Orbital Tumors Excision without Bony Marginotomy under Local and General Anesthesia
To present our experience of removing middle to deep orbital tumors using a combination of minimally invasive soft tissue approaches, sometimes under local anesthesia. Methods. In this retrospective case series, 30 patients (13 males and 17 females) underwent tumor removal through eyelid crease (17...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | Journal of Ophthalmology |
| Online Access: | http://dx.doi.org/10.1155/2014/424852 |
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| author | Robert A. Goldberg Daniel B. Rootman Nariman Nassiri David B. Samimi Joseph M. Shadpour |
| author_facet | Robert A. Goldberg Daniel B. Rootman Nariman Nassiri David B. Samimi Joseph M. Shadpour |
| author_sort | Robert A. Goldberg |
| collection | DOAJ |
| description | To present our experience of removing middle to deep orbital tumors using a combination of minimally invasive soft tissue approaches, sometimes under local anesthesia. Methods. In this retrospective case series, 30 patients (13 males and 17 females) underwent tumor removal through eyelid crease (17 eyes), conjunctival (nine eyes), lateral canthal (two eyes), and transcaruncular (two eyes) approaches. All tumors were located in the posterior half of the orbit. Six cases were removed under monitored anesthesia care with local block, and 24 were under general anesthesia. Results. The median (range) age and follow-up duration were 48.5 (31–87) years old and 24.5 (4–375) weeks, respectively. Visual acuity and ocular motility showed improvement or no significant change in all but one patient at the latest followup. Confirmed pathologies revealed cavernous hemangioma (15 cases), pleomorphic adenoma (5 cases), solitary fibrous tumor (4 cases), neurofibroma (2 cases), schwannoma (2 cases), and orbital varix (1 case). None of the patients experienced recurrence. Conclusions. Creating a bony marginotomy increases intraoperative exposure of the deep orbit but adds substantial time and morbidity. Benign orbital tumors can often be removed safely through small soft-tissue incisions, without bone removal and under local anesthesia. |
| format | Article |
| id | doaj-art-03e25454f33e48d18276d9aa766dae1e |
| institution | Kabale University |
| issn | 2090-004X 2090-0058 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Ophthalmology |
| spelling | doaj-art-03e25454f33e48d18276d9aa766dae1e2025-02-03T01:24:32ZengWileyJournal of Ophthalmology2090-004X2090-00582014-01-01201410.1155/2014/424852424852Orbital Tumors Excision without Bony Marginotomy under Local and General AnesthesiaRobert A. Goldberg0Daniel B. Rootman1Nariman Nassiri2David B. Samimi3Joseph M. Shadpour4Division of Orbital and Ophthalmic Plastic Surgery, Jules Stein Eye Institute, David Geffen School of Medicine, University of California at Los Angeles, 100 Stein Plaza, Los Angeles, CA 90095, USADivision of Orbital and Ophthalmic Plastic Surgery, Jules Stein Eye Institute, David Geffen School of Medicine, University of California at Los Angeles, 100 Stein Plaza, Los Angeles, CA 90095, USADivision of Orbital and Ophthalmic Plastic Surgery, Jules Stein Eye Institute, David Geffen School of Medicine, University of California at Los Angeles, 100 Stein Plaza, Los Angeles, CA 90095, USADivision of Orbital and Ophthalmic Plastic Surgery, Jules Stein Eye Institute, David Geffen School of Medicine, University of California at Los Angeles, 100 Stein Plaza, Los Angeles, CA 90095, USADivision of Orbital and Ophthalmic Plastic Surgery, Jules Stein Eye Institute, David Geffen School of Medicine, University of California at Los Angeles, 100 Stein Plaza, Los Angeles, CA 90095, USATo present our experience of removing middle to deep orbital tumors using a combination of minimally invasive soft tissue approaches, sometimes under local anesthesia. Methods. In this retrospective case series, 30 patients (13 males and 17 females) underwent tumor removal through eyelid crease (17 eyes), conjunctival (nine eyes), lateral canthal (two eyes), and transcaruncular (two eyes) approaches. All tumors were located in the posterior half of the orbit. Six cases were removed under monitored anesthesia care with local block, and 24 were under general anesthesia. Results. The median (range) age and follow-up duration were 48.5 (31–87) years old and 24.5 (4–375) weeks, respectively. Visual acuity and ocular motility showed improvement or no significant change in all but one patient at the latest followup. Confirmed pathologies revealed cavernous hemangioma (15 cases), pleomorphic adenoma (5 cases), solitary fibrous tumor (4 cases), neurofibroma (2 cases), schwannoma (2 cases), and orbital varix (1 case). None of the patients experienced recurrence. Conclusions. Creating a bony marginotomy increases intraoperative exposure of the deep orbit but adds substantial time and morbidity. Benign orbital tumors can often be removed safely through small soft-tissue incisions, without bone removal and under local anesthesia.http://dx.doi.org/10.1155/2014/424852 |
| spellingShingle | Robert A. Goldberg Daniel B. Rootman Nariman Nassiri David B. Samimi Joseph M. Shadpour Orbital Tumors Excision without Bony Marginotomy under Local and General Anesthesia Journal of Ophthalmology |
| title | Orbital Tumors Excision without Bony Marginotomy under Local and General Anesthesia |
| title_full | Orbital Tumors Excision without Bony Marginotomy under Local and General Anesthesia |
| title_fullStr | Orbital Tumors Excision without Bony Marginotomy under Local and General Anesthesia |
| title_full_unstemmed | Orbital Tumors Excision without Bony Marginotomy under Local and General Anesthesia |
| title_short | Orbital Tumors Excision without Bony Marginotomy under Local and General Anesthesia |
| title_sort | orbital tumors excision without bony marginotomy under local and general anesthesia |
| url | http://dx.doi.org/10.1155/2014/424852 |
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