Published in:
01-11-2017 | How I Do it - Neurosurgical Techniques
The medial orbito-frontal approach for orbital tumors: a How I Do It
Published in: Acta Neurochirurgica | Issue 11/2017
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Background
A variety of lesions can affect the orbit. Surgical approaches must be available to provide 360 degrees of access. For tumors occupying the superomedial intraconal quadrant, there is a rationale to selecting the medial orbito-frontal approach.
Methods
This article outlines the relevant surgical anatomy and the different surgical steps of this approach.
Results
The medial orbito-frontal approach offers a full exposure of the superomedial intraconal quadrant and avoids crossing the plane of the optic nerve.
Conclusion
In selected intraconal tumor cases, this transcranial epidural intraorbital approach is a straightforward corridor through reliable landmarks that can be routinely performed.