Surgical Therapy of Primary Tumors of Orbit
Authors:
I. Šlapák
Authors‘ workplace:
Klinika dětské otorinolaryngologie LF Masarykovy univerzity a FN, Brno
přednosta prof. MUDr. I. Šlapák, CSc.
Published in:
Otorinolaryngol Foniatr, 57, 2008, No. 4, pp. 206-209.
Category:
Original Article
Overview
Orbital tumors belong to less frequent diseases of the head region. Orbital tumors may be divided in primary and secondary ones. The leading symptom is the bulb protrusion, diplopia and vision disorders. Medial and lateral orbitotomy are the most frequently used approaches.
Material and Methods:
in order to evaluate diagnostic and therapeutic methods and their results the authors performed a retrospective analysis of the groups of patients who were operated on in the period of 1972 – 2007 for primary orbital tumors at the ORL Clinic, LF MU FNUSA a KDORL LF MU a FN Brno.
Results:
In the given period of 36 years (1972-2007) a total of 48 patients at the age of one to 89 years were operated on. In three other patients, decompression of orbit for endocrine orbitopathy was performed. Among these patients were 11 men (mean age 50 years) and 37 women (mean age 52 years). Decompression was performed one on the right and on the left and once bilaterally. Medial orbitotomy was performed in 16 cases, lateral orbitotomy in 22 cases. In 9 cases, frontal orbitotomy was made, in one case the tumor was removed by trans-conjunctival approach. In three patients, endonasal endoscopic orbital decompression was made. Types of tumors: hemangioma 16 times (10 times capillary, 6 times cavernous), pseudotumor 8 times, neurofibroma 3 times, adenoma 3 times, histiocytoma 3 times, hemangiopericytoma 2 times, neurinoma twice, lymphoma twice, lymphoepithelioma, osteosarcoma, hamartoma, carcinoma, metastasis of kidney sarcoma, spongioblastoma, meningeoma, A-V malformation and cyst were diagnosed once each.
Complications:
Less serious ones (hematoma and lasting edemas of eyelids) occurred in 8 cases. A post-operation unilateral blindness was a severe complication in a 26 –year man with orbital metastasis of kidney sarcoma.
Conclusion:
Diagnostics and therapy of orbital tumors must be dealt with by a collaborating team of specialists of different medical branches: otolaryngologist, ophtalmologist, radiodiagnostic specialist and a pathologist. It is necessary to concentrate the patients with orbital tumors into specialized centers.
Key words:
primary orbital tumors, diplopia, CT, MNR, medial orbitotomy, lateral orbitotomy.
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Audiology Paediatric ENT ENT (Otorhinolaryngology)Article was published in
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