Transcaruncular Medial Orbitotomy – a Case Report
Authors:
M. Almaši 1; A. Osifová 2; M. Horňák 2; M. Andrašovská 3; N. Džunková 1
Authors‘ workplace:
ORL oddelenie, Východoslovenský onkologický ústav, a. s., Košice, primárka MUDr. N. Džunková
1; Očná klinika LF UPJŠ a UN L. Pasteura, Košice, prednosta prof. MUDr. T. Juhás, DrSc.
2; Klinika otorinolaryngológie a chirurgie hlavy a krku LF UPJŠ a UN L. Pasteura, Košice, prednosta prof. MUDr. J. Kovaľ, CSc.
3
Published in:
Čes. a slov. Oftal., 67, 2011, No. 5-6, p. 178-180
Category:
Case Reports
Overview
Transcaruncular medial orbitotomy is a tissue preserving, time sparing and cosmetically acceptable approach, which is appropriate for treatment of various pathological conditions, as fractures of the medial orbital wall, inflammatory expansions and tumours of adjacent part of the orbit, but also the orbital endokrinopathy and correction of the medial palpebral ligament. Surgical technique and authors’ first experience with this approach in female with orbital haemangioma is presented.
Key words:
transcaruncular approach, medial orbitotomy, orbital tumours, orbital haemangioma
Sources
1. Akiyama, O., Tsutsumi, S., Suga, Y. et al.: Orbital cavernous hemangioma presenting with atypical appearance. Neurol Med Chir (Tokyo), 49; 2009: 209–212.
2. Alford, M. A., Nerad, J. A.: Orbital tumors. In Bailey, J.B., Johnson, J.T. : Head and Neck Surgery- Otolaryngology, VI th edition, Lipincott Williams and Wilkins, Philadelphia, 2006; 108, p. 1502–1513.
3. Balch, K. C., Goldberg, R. A., Green, J. P et al .: The transcaruncular approach to the medial orbit and ethmoid sinus. Facial Plastic Surgery Clinics of North America, 6; 1998: 71–77.
4. Fante, R. G., Elner, V. M.: Transcaruncular approach to medial canthal tendon plication for lower eyelid laxity. Ophthal Plast Reconstr Surg, 17; 2001, 1: 16–27.
5. Garcia, G. H., Goldberg, R. A., Shorr, N.: The transcaruncular approach in repair of orbital fractures: a retrospective study. J Craniomaxillofac Trauma, 4; 1998, 1: 7–12.
6. Goldberg, R. A., Mancini, R., Demer, J. L.: The transcaruncular approach. Surgical anatomy and technique. Arch Facial Plast Surg, 9; 2007, 6: 443–447
7. Graham, S. M., Chee, L., Alford, M. A. et al.: New techniques for surgical decompression or thyroid-related orbitopathy. Ann Acad Med Singapore, 28; 1999: 494–497.
8. Graham, S. M., Thomas, R. D., Carter, K. D. et al.: The transcaruncular approach to the medial orbital wall. Laryngoscope. 112; 2002, 6: 986–989.
9. Cheng, J-W., Wei, R-L., Cai, J-P et al.: Transconjunctival orbitotomy for orbital cavernous hemangiomas. Can J Ophthalmol. 43; 2008, 2: 234–238.
10. Cho, K. J., Paik, J-S., Yang, S-W.: Surgical outcomes of transconjunctival anterior orbitotomy for intraconal orbital cavernous hemangioma. Korean J Ophthalmol. 24; 2010, 5: 274–278.
11. Joo-yeon, O., Sang-hoon, R., Yoon-hee, K.: Transacaruncular approach to blowout fractures of the medial orbital wall. Korean J Ophthalmol. 17; 2003: 50–54.
12. Lai, P-C., Liao, S-L., Jou, J-R. et al.: Transcaruncular approach for the management of fronthoethmoid mucoceles. Br J Ophthalmol. 87; 2003: 699–703.
13. Moe, K. S.: The precaruncular approach to the medial orbit. Arch Facial Plast Surg, 5; 2003: 483–487.
14. Pelton, R. W., Smith, M. E., Patel, B. C. K., Kelly, S. M.: Cosmetic considerations in surgery for orbital subperiosteal abscess in children. Arch Otolaryngol Head Neck Surg. 129; 2003: 652–655.
Labels
OphthalmologyArticle was published in
Czech and Slovak Ophthalmology
2011 Issue 5-6
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