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Validity of the Lateral Supraorbital Approach as a Minimally Invasive Corridor for Orbital Lesions.
World Neurosurg 2015; 84(3):766-71WN

Abstract

BACKGROUND

Many approaches were recommended for surgical treatment of orbital lesions via either transorbital or transcranial routes. The frontolateral craniotomy through eyebrow skin incision (lateral supraorbital approach) is a combined cranio-orbital approach that could be used in different orbital lesions.

OBJECTIVES

To evaluate the efficacy and safety of the lateral supraorbital approach for resection of orbital lesions.

PATIENTS AND METHODS

Ten patients with different orbital lesions were treated by this minimally invasive technique. The technique is described in details. The postoperative outcome was evaluated with casting light on the specific parameters related to this approach.

RESULTS

This study included 6 females and 4 males, ranging in age from 2 years to 65 years with mean age of 37.3 years. Proptosis was the most common presenting complaint. Six patients were operated on via the right supraorbital approach, and 4 patients via the left supraorbital approach. Various pathological lesions were treated. The excision was total in 7 patients, subtotal in 1 patient, and partial in 2 patients. Two patients suffered transient supraorbital hypothesia, 1 patient showed temporary superficial wound infection with CSF leak and 1 patient died within 6 months.

CONCLUSION

The lateral supraorbital approach is a minimally invasive approach that provides excellent exposure of the superior, lateral, and medial orbit, as well as the orbital apex.

Authors+Show Affiliations

Department of Neurosurgery, Benha University, Banha, Egypt.Department of Neurosurgery, Benha University, Banha, Egypt. Electronic address: abdelaalmd@gmail.com.

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

25957722

Citation

Adawi, Mohammed M., and Abdelaal M. Abdelbaky. "Validity of the Lateral Supraorbital Approach as a Minimally Invasive Corridor for Orbital Lesions." World Neurosurgery, vol. 84, no. 3, 2015, pp. 766-71.
Adawi MM, Abdelbaky AM. Validity of the Lateral Supraorbital Approach as a Minimally Invasive Corridor for Orbital Lesions. World Neurosurg. 2015;84(3):766-71.
Adawi, M. M., & Abdelbaky, A. M. (2015). Validity of the Lateral Supraorbital Approach as a Minimally Invasive Corridor for Orbital Lesions. World Neurosurgery, 84(3), pp. 766-71. doi:10.1016/j.wneu.2015.04.058.
Adawi MM, Abdelbaky AM. Validity of the Lateral Supraorbital Approach as a Minimally Invasive Corridor for Orbital Lesions. World Neurosurg. 2015;84(3):766-71. PubMed PMID: 25957722.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Validity of the Lateral Supraorbital Approach as a Minimally Invasive Corridor for Orbital Lesions. AU - Adawi,Mohammed M, AU - Abdelbaky,Abdelaal M, Y1 - 2015/05/07/ PY - 2015/02/12/received PY - 2015/04/19/revised PY - 2015/04/20/accepted PY - 2015/5/11/entrez PY - 2015/5/11/pubmed PY - 2015/12/15/medline KW - Approaches to the orbit KW - Eyebrow incision KW - Supraorbital approach SP - 766 EP - 71 JF - World neurosurgery JO - World Neurosurg VL - 84 IS - 3 N2 - BACKGROUND: Many approaches were recommended for surgical treatment of orbital lesions via either transorbital or transcranial routes. The frontolateral craniotomy through eyebrow skin incision (lateral supraorbital approach) is a combined cranio-orbital approach that could be used in different orbital lesions. OBJECTIVES: To evaluate the efficacy and safety of the lateral supraorbital approach for resection of orbital lesions. PATIENTS AND METHODS: Ten patients with different orbital lesions were treated by this minimally invasive technique. The technique is described in details. The postoperative outcome was evaluated with casting light on the specific parameters related to this approach. RESULTS: This study included 6 females and 4 males, ranging in age from 2 years to 65 years with mean age of 37.3 years. Proptosis was the most common presenting complaint. Six patients were operated on via the right supraorbital approach, and 4 patients via the left supraorbital approach. Various pathological lesions were treated. The excision was total in 7 patients, subtotal in 1 patient, and partial in 2 patients. Two patients suffered transient supraorbital hypothesia, 1 patient showed temporary superficial wound infection with CSF leak and 1 patient died within 6 months. CONCLUSION: The lateral supraorbital approach is a minimally invasive approach that provides excellent exposure of the superior, lateral, and medial orbit, as well as the orbital apex. SN - 1878-8769 UR - https://www.unboundmedicine.com/medline/citation/25957722/Validity_of_the_Lateral_Supraorbital_Approach_as_a_Minimally_Invasive_Corridor_for_Orbital_Lesions_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1878-8750(15)00491-X DB - PRIME DP - Unbound Medicine ER -