J Neurol Surg B Skull Base 2025; 86(S 01): S1-S576
DOI: 10.1055/s-0045-1803978
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Transciliary Lateral Micro-Orbitotomy for an Orbital Apex Hemangioma: Technical Steps

Mehdi Khaleghi
1   Ohio State University, Wexner Medical Center, Columbus, Ohio, United States
,
Lucas P. Carlstrom
1   Ohio State University, Wexner Medical Center, Columbus, Ohio, United States
,
Amanda Zakeri
1   Ohio State University, Wexner Medical Center, Columbus, Ohio, United States
,
Raymond Chu
1   Ohio State University, Wexner Medical Center, Columbus, Ohio, United States
,
Daniel M. Prevedello
1   Ohio State University, Wexner Medical Center, Columbus, Ohio, United States
› Author Affiliations
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    In a supine position, a lateral transciliary incision was created. The periosteum was stripped, and a small superolateral orbital rim corridor was created. The periorbita and orbital contents were mobilized medially and the orbital apex was identified. Under microscopic guidance, the greater sphenoid wing was drilled and temporal dura was exposed. The lesion was isolated from the lateral aspect of the optic nerve sheath. The final inferolateral pedicle was ligated and the tumor was removed.


     

    No conflict of interest has been declared by the author(s).

    Publication History

    Article published online:
    07 February 2025

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