Orbital Tumors Excision without Bony Marginotomy under Local and General AnesthesiaReportar como inadecuado

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Journal of Ophthalmology - Volume 2014 2014, Article ID 424852, 5 pages -

Research ArticleDivision 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, USA

Received 5 December 2013; Accepted 20 March 2014; Published 14 April 2014

Academic Editor: Toshinobu Kubota

Copyright © 2014 Robert A. Goldberg et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


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.

Autor: Robert A. Goldberg, Daniel B. Rootman, Nariman Nassiri, David B. Samimi, and Joseph M. Shadpour

Fuente: https://www.hindawi.com/


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