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Osteoplastic Orbitotomy for Surgical Treatment of Isolated Orbital Tumors

Received: 29 December 2022     Accepted: 26 April 2023     Published: 10 May 2023
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Abstract

Orbital tumors are a difficult pathology for surgical removal and are additionally complicated by the issue of selecting a proper surgical approach. Currently, the choice of approach remains debatable for the surgical treatment of orbital tumors. This paper presents a retrospective analysis of 26 patients with isolated orbital tumors who were operated on in our neurosurgical center from 2012 till 2020. The series included 15 female and 11 male patients, whose age varied from 3 to 75 years. The most common symptoms of lesions were exophthalmia (20 pts), retrobulbar pain (15 pts) and visual disorders (6 pts). In all the considered cases, the tumors were removed via osteoplastic orbitotomy. 12 patients (46%) had a tumor in either central or lateral location, 5 (20%) – in superior location, 5 (20%) – in inferior location. 24 tumors (92%) were removed totally and 2 tumors (8%) – were removed subtotally. More than 70% of the treated tumors comprised hemangiomas, pseudotumors and tear-gland tumors. 18 patients preserved their acuity at the preoperative level; 6 patients improved their visual function; visual function degraded in 2 patients. Orbitotomy has proven to be an effective technique in the removal of the most of isolated intraorbital tumors excluding those of medial location.

Published in Journal of Surgery (Volume 11, Issue 2)
DOI 10.11648/j.js.20231102.14
Page(s) 55-59
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2023. Published by Science Publishing Group

Keywords

Isolated Orbital Tumors, Osteoplastic Orbitotomy, Orbital Tumor Removal

References
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[2] Bonavolontà G. et al. An analysis of 2,480 space-occupying lesions of the orbit from 1976 to 2011 // Ophthal. Plast. Reconstr. Surg. 2013. Vol. 29, № 2. P. 79–86.
[3] Khan, A. M., & Varvares, M. A. (2006). Traditional Approaches to the Orbit. Otolaryngologic Clinics of North America, 39 (5), 895–909. doi: 10.1016/j.otc.2006.08.008.
[4] Cockerham, K. P., Bejjani, G. K., Kennerdell, J. S., & Maroon, J. C. (2001). Surgery for orbital tumors. Part II: transorbital approaches. Neurosurgical Focus, 10 (5), 1–6. doi: 10.3171/foc.2001.10.5.4.
[5] Kronlein R. Zur pathologie und behandlung der dermoidcysten der orbita. Beitr Klin Chir. 1888; 4: 149.
[6] Dandy W. E. Prechiasmal Intracranial Tumors of the Optic Nerves // Am. J. Ophthalmol. 1922. Vol. 5, № 3. P. 169–188.
[7] Bejjani G. K. et al. A reappraisal of surgery for orbital tumors. Part I : extraorbital approaches // Neurosurg. Focus. 2001. Vol. 10, № 5. P. 1–6.
[8] Montano N. et al. Orbital Tumors: Report of 70 Surgically Treated Cases // World Neurosurg. Elsevier Inc, 2018. Vol. 119. P. e449–e458.
[9] Paluzzi A. et al. Round-the-clock surgical access to the orbit // J. Neurol. Surgery, Part B Skull Base. 2015. Vol. 76, № 1. P. 12–24.
[10] Yoshihiro Numa, M.D., Ph.D. and Keiji Kawamoto, M.D., Ph.D. Frontozygomatic Approach to Intraorbital Tumors. SKULL BASE/VOLUME 17, NUMBER 5, 2007.
[11] Nevo Margalit, M.D., Haim Ezer, M.D., Dan M. Fliss, M.D., Elvira Naftaliev, M.D., Erez Nossek, M.D., and Anat Kesler, M.D. Orbital tumors treated using transcranial approaches: surgical technique and neuroophthalmogical results in 41 patients. Neurosurg Focus 23 (3): E11, 2007.
[12] Ciappetta P, Delfini R. Surgical strategies in the treatment of symptomatic osteomas of the orbital walls. Neurosurgery. 1992 Oct; 31 (4): 628-34; discussion 634-5. doi: 10.1227/00006123-199210000-00003.
[13] Fukushima T, Hirohita T. Surgical approach to the cavernous angioma of the orbit, with special reference to the orbital microsurgical anatomy. Jpn J Neurosurg 1998; 7: 609–61410.
[14] Natori Y, Rhoton AL Jr. Transcranial approach to the orbit: microsurgical anatomy. J Neurosurg 1994; 81: 78–8611.
[15] Kaywan Aftahy, MD, Philipp Krauss, MD, Melanie Barz, MD, Arthur Wagner, MD, Bernhard Meyer, MD, Chiara Negwer, MD, Jens Gempt, MD. Surgical treatment of intraorbital lesions. World Neurosurgery (2021), doi: https://doi.org/10.1016/ j.wneu.2021.09.011.
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  • APA Style

    Anton Kalinovskiy, Ekaterina Balkhanova. (2023). Osteoplastic Orbitotomy for Surgical Treatment of Isolated Orbital Tumors. Journal of Surgery, 11(2), 55-59. https://doi.org/10.11648/j.js.20231102.14

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    ACS Style

    Anton Kalinovskiy; Ekaterina Balkhanova. Osteoplastic Orbitotomy for Surgical Treatment of Isolated Orbital Tumors. J. Surg. 2023, 11(2), 55-59. doi: 10.11648/j.js.20231102.14

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    AMA Style

    Anton Kalinovskiy, Ekaterina Balkhanova. Osteoplastic Orbitotomy for Surgical Treatment of Isolated Orbital Tumors. J Surg. 2023;11(2):55-59. doi: 10.11648/j.js.20231102.14

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  • @article{10.11648/j.js.20231102.14,
      author = {Anton Kalinovskiy and Ekaterina Balkhanova},
      title = {Osteoplastic Orbitotomy for Surgical Treatment of Isolated Orbital Tumors},
      journal = {Journal of Surgery},
      volume = {11},
      number = {2},
      pages = {55-59},
      doi = {10.11648/j.js.20231102.14},
      url = {https://doi.org/10.11648/j.js.20231102.14},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20231102.14},
      abstract = {Orbital tumors are a difficult pathology for surgical removal and are additionally complicated by the issue of selecting a proper surgical approach. Currently, the choice of approach remains debatable for the surgical treatment of orbital tumors. This paper presents a retrospective analysis of 26 patients with isolated orbital tumors who were operated on in our neurosurgical center from 2012 till 2020. The series included 15 female and 11 male patients, whose age varied from 3 to 75 years. The most common symptoms of lesions were exophthalmia (20 pts), retrobulbar pain (15 pts) and visual disorders (6 pts). In all the considered cases, the tumors were removed via osteoplastic orbitotomy. 12 patients (46%) had a tumor in either central or lateral location, 5 (20%) – in superior location, 5 (20%) – in inferior location. 24 tumors (92%) were removed totally and 2 tumors (8%) – were removed subtotally. More than 70% of the treated tumors comprised hemangiomas, pseudotumors and tear-gland tumors. 18 patients preserved their acuity at the preoperative level; 6 patients improved their visual function; visual function degraded in 2 patients. Orbitotomy has proven to be an effective technique in the removal of the most of isolated intraorbital tumors excluding those of medial location.},
     year = {2023}
    }
    

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    AU  - Anton Kalinovskiy
    AU  - Ekaterina Balkhanova
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    DO  - 10.11648/j.js.20231102.14
    T2  - Journal of Surgery
    JF  - Journal of Surgery
    JO  - Journal of Surgery
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    EP  - 59
    PB  - Science Publishing Group
    SN  - 2330-0930
    UR  - https://doi.org/10.11648/j.js.20231102.14
    AB  - Orbital tumors are a difficult pathology for surgical removal and are additionally complicated by the issue of selecting a proper surgical approach. Currently, the choice of approach remains debatable for the surgical treatment of orbital tumors. This paper presents a retrospective analysis of 26 patients with isolated orbital tumors who were operated on in our neurosurgical center from 2012 till 2020. The series included 15 female and 11 male patients, whose age varied from 3 to 75 years. The most common symptoms of lesions were exophthalmia (20 pts), retrobulbar pain (15 pts) and visual disorders (6 pts). In all the considered cases, the tumors were removed via osteoplastic orbitotomy. 12 patients (46%) had a tumor in either central or lateral location, 5 (20%) – in superior location, 5 (20%) – in inferior location. 24 tumors (92%) were removed totally and 2 tumors (8%) – were removed subtotally. More than 70% of the treated tumors comprised hemangiomas, pseudotumors and tear-gland tumors. 18 patients preserved their acuity at the preoperative level; 6 patients improved their visual function; visual function degraded in 2 patients. Orbitotomy has proven to be an effective technique in the removal of the most of isolated intraorbital tumors excluding those of medial location.
    VL  - 11
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Author Information
  • Department of Neurosurgery №4 (Oncological), Federal Center of Neurosurgery, Novosibirsk, Russian Federation

  • Department of Neurosurgery №4 (Oncological), Federal Center of Neurosurgery, Novosibirsk, Russian Federation

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