J Neurol Surg B Skull Base 2020; 81(04): 472-479
DOI: 10.1055/s-0040-1713938
Surgical Approaches to the Orbit
Review Article

Combined Surgical Approaches In and Around the Orbit

S. Tonya Stefko
1   Departments of Ophthalmology, Otolaryngology, and Neurological Surgery, Eye & Ear Institute, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, United States
› Author Affiliations

Abstract

Orbital pathology requiring surgery can be planned based on the nature of the disease and the position of this relative to the globe and optic nerve complex. Multidisciplinary treatment is now common, and this sometimes includes multiple surgical corridors employed for approach. The orbit is also now frequently used as a corridor to intracranial pathology, and these same processes may be applied. Combined surgical approaches, whether at the same time or staged, allow for minimization of manipulation of critical neurovascular structures in complex skull base pathology.



Publication History

Article published online:
04 September 2020

© 2020. Thieme. All rights reserved.

Georg Thieme Verlag KG
Stuttgart · New York

 
  • References

  • 1 McNab A. The management of orbital disease in children. . In: Taylor and Hoyt's Pediatric Ophthalmology and Strabismus, 5th ed. Edinburgh: Elsevier; 2017: 209-215
  • 2 Dutton J. Orbital diseases. . In: Ophthalmology, 5th ed. Edinburgh: Elsevier; 2019: 1316-1330
  • 3 Rootman DB. Orbital decompression for thyroid eye disease. Surv Ophthalmol 2018; 63 (01) 86-104
  • 4 Bonavolontà G, Strianese D, Grassi P. et al. An analysis of 2,480 space-occupying lesions of the orbit from 1976 to 2011. Ophthal Plast Reconstr Surg 2013; 29 (02) 79-86
  • 5 El Rassi E, Adappa ND, Battaglia P. et al. Development of the international orbital Cavernous Hemangioma Exclusively Endonasal Resection (CHEER) staging system. Int Forum Allergy Rhinol 2019; 9 (07) 804-812
  • 6 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