Published in:
Open Access 01-10-2014 | How I Do it - Neurosurgical Techniques
Endoscopic lateral orbitotomy
Published in: Acta Neurochirurgica | Issue 10/2014
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Background
Lateral orbitotomy can be minimalized using contemporary endoscopy.
Methods
Anatomy of the temporal fossa/orbital wall junction is described. The attachment of the temporal fascia is cut off from the orbital rim through a 1.5 cm skin incision in the lateral orbital wrinkle. The temporal muscle is detached from the bone to create a space for the telescope. An appropriate bone opening in the lateral orbital wall is created with the aid of neuronavigation to handle intraorbital pathology.
Conclusion
Endoscopic lateral orbitotomy is an original alternative to the microsurgical Krönlein approach and yields good functional and cosmetic results.