Endoscopic Transnasal Cryo-Assisted Removal of an Orbital Cavernous Hemangioma: A Technical Note

Abstract

The cryoprobe device is commonly used by orbital surgeons for the extraction of intraorbital lesions. Cryoprobes provide a safe mechanism to manipulate fluid-filled tumors. Such lesions can present in locations in which intraoperative neurosurgical assistance is essential. The authors describe a technique whereby removal of an orbital hemangioma was facilitated by the aid of an endoscopic, transnasal cryoprobe while standard microsurgical dissection was performed concurrently via a transconjunctival approach.

Key words

cryosurgery - neoplasm - endoscopic surgery - cavernous hemangioma - transnasal surgery

References

• 1 Herter T, Bennefeld H, Brandt M. Orbital cavernous hemangiomas.  Neurosurg Rev. 1988;  11 143-147
• 2 Wilms G, Raat H, Dom R. et al . Orbital cavernous hemangioma: findings on sequential Gd-enhanced MRI.  J Comp Ass Tomogr. 1995;  19 548-551
• 3 Stamm A, Nogueira JF. Orbital cavernous hemangioma: Transnasal endoscopic management.  Otolaryngol Head Neck Surg. 2009;  141 794-795
• 4 Rosen N, Priel A, Simon GJ. et al . Cryo-assisted anterior approach for surgery of retroocular orbital tumours avoids the need for lateral or transcranial orbitotomy in most cases.  Acta Ophthalmol. 2010;  88 675-680
• 5 Finger PT. “Fingertip” cryoprobe assisted orbital tumour extraction.  Br J Ophthalmol. 2005;  89 777-778
• 6 Maroon JC, Onik G, Quigley MR. et al . Cryosurgery re-visited for the removal and destruction of brain, spinal and orbital tumours.  Neurolog Res. 1992;  14 294-302
• 7 Tsirbas A, Kazim M, Close L. Endoscopic approach to orbital apex lesions.  Ophthal Plast Reconstr Surg. 2005;  21 271-275
• 8 Murchison AP, Rosen MR, Evans JJ. et al . Posterior nasal septectomy in endoscopic orbital apex surgery.  Ophthal Plast Reconstr Surg. 2009;  25 458-463
• 9 Putterman A, Goldberg MF. Retinal cryoprobe in orbital tumor management.  Am J Ophthalmol. 1975;  80 88-92
• 10 Endo S, Nishijima M, Takaku A. Cryosurgical retraction in the removal of intracranial vascular tumors technical note.  Neurologia Medico-Chirurgica. 1993;  33 44-45

Correspondence