Transnasal Endoscopic Surgery Approach in Intraorbital Tumors
Authors:
P. Matoušek 1,2
; R. Lipina 2,3; Pavel Komínek 1
; P. Šmehlík 3; T. Krejčí 3; J. Syrovátka 1
; Karol Zeleník 1,2
Authors place of work:
ORL Klinika FN, Ostrava, přednosta doc. MUDr. Pavel Komínek, PhD., MBA
1; Lékařská Fakulta FN, Ostrava
2; Oční klinika FN, Ostrava, přednosta MUDr. Petr Mašek, CSc.
3; Neurochirurgická klinika FN, Ostrava, přednosta MUDr. Tomáš Paleček, PhD.
3
Published in the journal:
Čes. a slov. Oftal., 68, 2012, No. 5, p. 202-206
Category:
Original Article
Summary
Objectives:
To determine the role of transnasal endoscopic approach to orbital lesions
Methods:
Retrospective case series.
Results:
Three patients underwent endoscopic diagnostic surgery for orbital lesions. In all three patients was successfully finded out the diagnosis, the orbita was decompressed. In two cases it resulted to visual recovery, in one case was determine a diagnosis of metastatic adenocarcinoma. In one case the tumor was removed totally.
Conclusion:
Using endoscopic approach to the orbit allowed good approach to the biopsy of orbital lesions, allowed decompression an in limited count of cases this access allowed a complete tumour removal. On the other hand, generally endoscopic approach is useful only for limited lesions (extraconal), usually it allowed only debunking, not the complete resection of orbital pathology.
Key words:
orbital lesions, endoscopic approach
Zdroje
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3. Abuzayed, B., Tanriover N., Gazioglu N., et al.: Endoscopic endonasal approach to the orbital apex and medial orbital wall: anatomic study and clinical applications. J Craniofac Surg, 2009; 20: 1594–1600.
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10. Karaki, M., Kobayashi, R., Mori, N.: Removal of an orbital apex hemangioma using an endoscopic transethmoidal approach: technical note. Neurosurgery, 2006; 59(suppl 1): 159–160.
11. Yoshimura, K., Kubo, S., Yoneda, H., et al.: Removal of a cavernous hemangioma in the orbital apex via the endoscopic transnasal approach: a case report. Minim Invasive Neurosurg 2010, 53:77-79.
12. Castelnuovo, P., Dallan, I., Locatelli, D., et al.: Endoscopic transnasal intraorbital surgery: our experience with 16 cases. Eur Arch Otorhinolaryngol, 2012; 269: 1929–1935.
Štítky
OphthalmologyČlánok vyšiel v časopise
Czech and Slovak Ophthalmology
2012 Číslo 5
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