Abstract:
PURPOSE: To describe and evaluate a cryo-assisted, minimally invasive, anterior approach for orbital tumour surgery. METHODS: Retrospective, non-comparative, consecutive, interventional case series of 103 patients who were operated on by the same surgeon for retroocular orbital tumours over the last 16 years. RESULTS: A cryo-assisted, minimally invasive, anterior approach was employed in 63 out of the 103 patients (61.2%). In 37 patients (35.9%), anterior orbitotomy without the use of cryoprobe was employed for biopsy or excision of small, anteriorly located lesions. Lateral orbitotomy was used in three patients (2.9%). In a subgroup of 61 patients with circumscribed lesions (mainly cavernous haemangiomas and schwannomas), cryoextraction was used in 51 (83.6%). None of the procedures required conversion to lateral orbitotomy and there were no intraoperative complications. CONCLUSION: In contrast to other reports on the treatment of orbital lesions, in the current case series surgery of most solid tumours and many other cystic or infiltrative lesions was achieved here via an anterior, cryo-assisted approach, and thus with minimal trauma to the orbit. This approach warrants more favourable consideration because the combination of the anterior approach with the use of cryoprobe and surgical microscope can yield successful results, even in patients with large or deeply located tumours - obviating in most of them the need for lateral or transcranial orbitotomies with bone flaps.
journal_name
Acta Ophthalmoljournal_title
Acta ophthalmologicaauthors
Rosen N,Priel A,Simon GJ,Rosner Mdoi
10.1111/j.1755-3768.2009.01515.xsubject
Has Abstractpub_date
2010-09-01 00:00:00pages
675-80issue
6eissn
1755-375Xissn
1755-3768pii
AOS1515journal_volume
88pub_type
杂志文章abstract:PURPOSE:The clinical use and comparison of two recently developed A-scan ultrasound devices. METHODS:The same investigator determined central corneal thickness (CCT), anterior chamber depth (ACD) and axial length (AL) with an OcuScan RxP (Alcon, Forth Worth, Texas, USA) and an AL-2000 (Tomey, Erlangen, Germany) ultras...
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更新日期:2020-07-23 00:00:00
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pub_type: 杂志文章,随机对照试验
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