Navigation-Guided Endoscopy Combined with Deep Lateral Orbitotomy for Removal of Small Tumors at the Lateral Orbital Apex
Purpose. To evaluate the efficacy, feasibility, and safety of the navigation-guided endoscopy combined with deep lateral orbitotomy for removal of small tumors at the lateral orbital apex. Design. A retrospective, noncomparative case series. Methods. Retrospective analysis of ten patients (10 eyes)...
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Wiley
2018-01-01
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| Series: | Journal of Ophthalmology |
| Online Access: | http://dx.doi.org/10.1155/2018/2827491 |
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| author | GuangMing Zhou Xin Ju Bo Yu YunHai Tu JieLiang Shi EnDe Wu WenCan Wu |
| author_facet | GuangMing Zhou Xin Ju Bo Yu YunHai Tu JieLiang Shi EnDe Wu WenCan Wu |
| author_sort | GuangMing Zhou |
| collection | DOAJ |
| description | Purpose. To evaluate the efficacy, feasibility, and safety of the navigation-guided endoscopy combined with deep lateral orbitotomy for removal of small tumors at the lateral orbital apex. Design. A retrospective, noncomparative case series. Methods. Retrospective analysis of ten patients (10 eyes) with small tumors at the lateral orbital apex comprised navigation-guided endoscopy combined with deep lateral orbitotomy at the Eye Hospital of Wenzhou Medical University from November 2015 to November 2017. In each case, the indication of surgery was existing or imminent visual impairment due to the tumor. The removal was believed to be complete if the mass was removed intactly during the surgery. The tumor character was confirmed by pathological examination after surgery. Patients were followed up to 3 months after surgery. Best corrected visual acuity before and after surgery was compared. Results. All tumors were completely removed by the navigation-guided endoscopic approach. The mean preoperative best corrected visual acuity was 6/15 (95% confidence interval (95% CI) 6/40–6/8.5), and the mean postoperative best corrected visual acuity was 6/10 (95% CI 6/15–6/7.5). 5 of 7 (71%) patients with vision loss gained visual improvement in different degrees after surgery, and the rest of the patients had preoperative best corrected visual acuity. Visual field of all patients also improved. 8 cavernous hemangiomas and 2 schwannomas were confirmed postoperatively by pathology. 4 patients accompanied with limitation of eye abduction, which recovered spontaneously in an average of 4 weeks. No other serious complications occurred. Conclusions. Navigation-guided endoscopy combined with deep lateral orbitotomy seems to be a feasible, efficient, and safe approach for removing small tumors at the lateral orbital apex. This trial is registered with ChiCTR1800019244. |
| format | Article |
| id | doaj-art-3093c6cd83044cfebb2223ba991ff68d |
| institution | OA Journals |
| issn | 2090-004X 2090-0058 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Ophthalmology |
| spelling | doaj-art-3093c6cd83044cfebb2223ba991ff68d2025-08-20T02:07:55ZengWileyJournal of Ophthalmology2090-004X2090-00582018-01-01201810.1155/2018/28274912827491Navigation-Guided Endoscopy Combined with Deep Lateral Orbitotomy for Removal of Small Tumors at the Lateral Orbital ApexGuangMing Zhou0Xin Ju1Bo Yu2YunHai Tu3JieLiang Shi4EnDe Wu5WenCan Wu6Minimally Invasive Surgical Center, The Eye Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, ChinaMinimally Invasive Surgical Center, The Eye Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, ChinaMinimally Invasive Surgical Center, The Eye Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, ChinaMinimally Invasive Surgical Center, The Eye Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, ChinaMinimally Invasive Surgical Center, The Eye Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, ChinaMinimally Invasive Surgical Center, The Eye Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, ChinaMinimally Invasive Surgical Center, The Eye Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, ChinaPurpose. To evaluate the efficacy, feasibility, and safety of the navigation-guided endoscopy combined with deep lateral orbitotomy for removal of small tumors at the lateral orbital apex. Design. A retrospective, noncomparative case series. Methods. Retrospective analysis of ten patients (10 eyes) with small tumors at the lateral orbital apex comprised navigation-guided endoscopy combined with deep lateral orbitotomy at the Eye Hospital of Wenzhou Medical University from November 2015 to November 2017. In each case, the indication of surgery was existing or imminent visual impairment due to the tumor. The removal was believed to be complete if the mass was removed intactly during the surgery. The tumor character was confirmed by pathological examination after surgery. Patients were followed up to 3 months after surgery. Best corrected visual acuity before and after surgery was compared. Results. All tumors were completely removed by the navigation-guided endoscopic approach. The mean preoperative best corrected visual acuity was 6/15 (95% confidence interval (95% CI) 6/40–6/8.5), and the mean postoperative best corrected visual acuity was 6/10 (95% CI 6/15–6/7.5). 5 of 7 (71%) patients with vision loss gained visual improvement in different degrees after surgery, and the rest of the patients had preoperative best corrected visual acuity. Visual field of all patients also improved. 8 cavernous hemangiomas and 2 schwannomas were confirmed postoperatively by pathology. 4 patients accompanied with limitation of eye abduction, which recovered spontaneously in an average of 4 weeks. No other serious complications occurred. Conclusions. Navigation-guided endoscopy combined with deep lateral orbitotomy seems to be a feasible, efficient, and safe approach for removing small tumors at the lateral orbital apex. This trial is registered with ChiCTR1800019244.http://dx.doi.org/10.1155/2018/2827491 |
| spellingShingle | GuangMing Zhou Xin Ju Bo Yu YunHai Tu JieLiang Shi EnDe Wu WenCan Wu Navigation-Guided Endoscopy Combined with Deep Lateral Orbitotomy for Removal of Small Tumors at the Lateral Orbital Apex Journal of Ophthalmology |
| title | Navigation-Guided Endoscopy Combined with Deep Lateral Orbitotomy for Removal of Small Tumors at the Lateral Orbital Apex |
| title_full | Navigation-Guided Endoscopy Combined with Deep Lateral Orbitotomy for Removal of Small Tumors at the Lateral Orbital Apex |
| title_fullStr | Navigation-Guided Endoscopy Combined with Deep Lateral Orbitotomy for Removal of Small Tumors at the Lateral Orbital Apex |
| title_full_unstemmed | Navigation-Guided Endoscopy Combined with Deep Lateral Orbitotomy for Removal of Small Tumors at the Lateral Orbital Apex |
| title_short | Navigation-Guided Endoscopy Combined with Deep Lateral Orbitotomy for Removal of Small Tumors at the Lateral Orbital Apex |
| title_sort | navigation guided endoscopy combined with deep lateral orbitotomy for removal of small tumors at the lateral orbital apex |
| url | http://dx.doi.org/10.1155/2018/2827491 |
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