J Neurol Surg B Skull Base 2020; 81(04): 385-408
DOI: 10.1055/s-0040-1713941
Surgical Approaches to the Orbit
Review Article

Surgical Approaches to the Orbit: A Neurosurgical Perspective

Zeid Abussuud
1   Department of Neurosurgery (Honorary), Queen Elizabeth Hospital, Birmingham, United Kingdom
,
Shahzada Ahmed
2   Department of ENT, Queen Elizabeth Hospital Birmingham, United Kingdom
,
Alessandro Paluzzi
3   Department of Neurosurgery, Queen Elizabeth Hospital Birmingham, United Kingdom
› Institutsangaben

Abstract

Orbital pathologies can be complex to manage surgically. In this article, we describe some of the most common and relevant approaches to orbital tumours. For each approach we describe the appropriate indications, surgical technique, potential complications, and illustrate a case example.

Patient Permission

Verbal consent was obtained for publication, but written consent has not been sought as all images are nonidentifiable.




Publikationsverlauf

Artikel online veröffentlicht:
09. September 2020

© 2020. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 
  • References

  • 1 Hayek G, Mercier P, Fournier HD. Anatomy of the orbit and its surgical approach. Adv Tech Stand Neurosurg 2006; 31 (01) 35-71
  • 2 Pai SB, Nagarjun MN. A neurosurgical perspective to approaches to the orbit: A cadaveric study. Neurol India 2017; 65 (05) 1094-1101
  • 3 Paluzzi A, Gardner PA, Fernandez-Miranda JC. et al. “Round-the-clock” surgical access to the orbit. J Neurol Surg B Skull Base 2015; 76 (01) 12-24
  • 4 Kirollos R, Helmy A, Thomson S, Hutchinson P. Oxford Textbook of Neurological Surgery. 1st ed. Oxford, United Kingdom: Oxford University Press; 2019: 221-227
  • 5 Graham SM, Thomas RD, Carter KD, Nerad JA. The transcaruncular approach to the medial orbital wall. Laryngoscope 2002; 112 (06) 986-989
  • 6 O'Donnell B. Surgical approaches to the orbit. Orbit 2007; 26 (02) 81-82
  • 7 Deda H, Ugur HC, Yorulmaz I, Kucuk B. Anteromedial approach to the orbit. Skull Base 2001; 11 (04) 233-239
  • 8 Hejazi N, Hassler W. The transconjunctival microsurgical approach to the orbit: recent experience in 22 cases. Br J Neurosurg 1997; 11 (04) 310-317
  • 9 Mullins JB, Holds JB, Branham GH, Thomas JR. Complications of the transconjunctival approach. A review of 400 cases. Arch Otolaryngol Head Neck Surg 1997; 123 (04) 385-388
  • 10 Shorr N, Baylis HI, Goldberg RA, Perry JD. Transcaruncular approach to the medial orbit and orbital apex. Ophthalmology 2000; 107 (08) 1459-1463
  • 11 Novelli G, Ferrari L, Sozzi D, Mazzoleni F, Bozzetti A. Transconjunctival approach in orbital traumatology: a review of 56 cases. J Craniomaxillofac Surg 2011; 39 (04) 266-270
  • 12 Ohjimi H, Taniguchi Y, Tanahashi S, Era K, Fukushima T. Accessing the orbital roof via an eyelid incision: the transpalpebral approach. Skull Base Surg 2000; 10 (04) 211-216
  • 13 Dzhindzhikhadze RS, Dreval ON, Lazarev VA, Polyakov AV. Transpalpebral approach in skull base surgery: how I do it. Acta Neurochir (Wien) 2019; 161 (01) 133-137
  • 14 Raza SM, Boahene KD, Quinones-Hinojosa A. The transpalpebral incision: its use in keyhole approaches to cranial base brain tumors. Expert Rev Neurother 2010; 10 (11) 1629-1632
  • 15 Schmidt BL, Pogrel MA, Hakim-Faal Z. The course of the temporal branch of the facial nerve in the periorbital region. J Oral Maxillofac Surg 2001; 59 (02) 178-184
  • 16 Abdel Aziz KM, Bhatia S, Tantawy MH. et al. Minimally invasive transpalpebral “eyelid” approach to the anterior cranial base. Neurosurgery 2011;69(02, suppl operative) ons195–ons206, discussion 206–207
  • 17 Campbell AA, Grob SR, Yoon MK. Novel surgical approaches to the orbit. Middle East Afr J Ophthalmol 2015; 22 (04) 435-441
  • 18 Signorelli F, Anile C, Rigante M, Paludetti G, Pompucci A, Mangiola A. Endoscopic treatment of orbital tumors. World J Clin Cases 2015; 3 (03) 270-274
  • 19 Kannan S, Hasegawa M, Yamada Y, Kawase T, Kato Y. Tumors of the orbit: Case report and review of surgical corridors and current options. Asian J Neurosurg 2019; 14 (03) 678-685
  • 20 Campbell PG, Yadla S, Rosen M, Bilyk JR, Murchison AP, Evans JJ. Endoscopic transnasal cryo-assisted removal of an orbital cavernous hemangioma: a technical note. Minim Invasive Neurosurg 2011; 54 (01) 41-43
  • 21 Koutourousiou M, Gardner PA, Stefko ST. et al. Combined endoscopic endonasal transorbital approach with transconjunctival-medial orbitotomy for excisional biopsy of the optic nerve: technical note. J Neurol Surg Rep 2012; 73 (01) 52-56
  • 22 Zhou G, Ju X, Yu B. et al. Navigation-guided endoscopy combined with deep lateral orbitotomy for removal of small tumors at the lateral orbital apex. J Ophthalmol 2018; 2018 (01) 2827491
  • 23 Prabhakaran VC, Selva D. Orbital endoscopic surgery. Indian J Ophthalmol 2008; 56 (01) 5-8
  • 24 Berhouma M, Jacquesson T, Abouaf L, Vighetto A, Jouanneau E. Endoscopic endonasal optic nerve and orbital apex decompression for nontraumatic optic neuropathy: surgical nuances and review of the literature. Neurosurg Focus 2014; 37 (04) E19
  • 25 Chiu A, Palmer J, Adappa N. Atlas of Endoscopic Sinus And Skull Base Surgery E-Book. Philadelphia, PA: Elsevier; 2018: 157-164
  • 26 Roth J, Fraser JF, Singh A, Bernardo A, Anand VK, Schwartz TH. Surgical approaches to the orbital apex: comparison of endoscopic endonasal and transcranial approaches using a novel 3D endoscope. Orbit 2011; 30 (01) 43-48
  • 27 Chabot JD, Gardner PA, Stefko ST, Zwagerman NT, Fernandez-Miranda JC. Lateral orbitotomy approach for lesions involving the middle fossa: a retrospective review of thirteen patients. Neurosurgery 2017; 80 (02) 309-322
  • 28 Surej Kumar LK, Vinod MK, Menon PV. Lateral orbital approach: Gateway to intraorbital lesions. Natl J Maxillofac Surg 2014; 5 (02) 217-220
  • 29 Dunklebarger M, Patel V, Shokri T, Goyal N. Multimodal approaches in the management of malignancies involving the orbit. Oper Tech Otolaryngol--Head Neck Surg 2018; 29 (04) 232-242
  • 30 Wallace SA, Michael Meyer R, Cirivello MJ, Cho RI. Lateral orbitotomy for a maxillary nerve schwannoma: case report. J Neurosurg 2016; 125 (04) 869-876
  • 31 Zakondyrin D, Semenov G. Anatomical features of transcranial access to the orbital cavity. Neurosci Behav Physiol 2011; 41 (07) 759-762
  • 32 Black E. Smith and Nesi's Ophthalmic Plastic And Reconstructive Surgery. 1st ed. New York, NY: Springer New York; 2012: 807-810
  • 33 Jane J, Park T, Pobereskin L, Winn R, Butler A. The supraorbital approach: technical note. Neurosurgery 1982; 11 (04) 537-542
  • 34 Moe KS, Bergeron CM, Ellenbogen RG. Transorbital neuroendoscopic surgery. Neurosurgery 2010; 67 (03) , suppl operative ): ons16-ons28
  • 35 Lubbe D, Mustak H, Seayaroh K, Goncalves N, Fagan J. Transorbital neuroendoscopic surgery. Curr Otorhinolaryngol Rep 2019; 7 (02) 173-180
  • 36 Ramakrishna R, Kim LJ, Bly RA, Moe K, Ferreira Jr M. Transorbital neuroendoscopic surgery for the treatment of skull base lesions. J Clin Neurosci 2016; 24: 99-104
  • 37 Zoia C, Bongetta D, Gaetani P. Endoscopic transorbital surgery for spheno-orbital lesions: how I do it. Acta Neurochir (Wien) 2018; 160 (06) 1231-1233
  • 38 Pietrobon G, Karligkiotis A, Turri-Zanoni M. et al. Surgical management of inverted papilloma involving the frontal sinus: a practical algorithm for treatment planning. Acta Otorhinolaryngol Ital 2019; 39 (01) 28-39
  • 39 Karligkiotis A, Pistochini A, Turri-Zanoni M. et al. Endoscopic endonasal orbital transposition to expand the frontal sinus approaches. Am J Rhinol Allergy 2015; 29 (06) 449-456
  • 40 Kodama K, Goto T, Sato A, Sakai K, Tanaka Y, Hongo K. Standard and limitation of intraoperative monitoring of the visual evoked potential. Acta Neurochir (Wien) 2010; 152 (04) 643-648
  • 41 Luo Y, Regli L, Bozinov O, Sarnthein J. Clinical utility and limitations of intraoperative monitoring of visual evoked potentials. PLoS One 2015; 10 (03) e0120525
  • 42 S R MV S. Intraoperative visual evoked potentials: there is more to it than meets the eye. J Neurol Neurosci 2016; 7 DOI: 10.21767/2171-6625.1000106.