Endoscopic lateral orbitotomy

BACKGROUND: Lateral orbitotomy can be minimalized using contemporary endoscopy. METHODS: Anatomy of the temporal fossa/orbital wall junction is described. The attachment of the temporal fascia is cut off from the orbital rim through a 1.5 cm skin incision in the lateral orbital wrinkle. The temporal...

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Detalles Bibliográficos
Autores principales: Lyson, Tomasz, Sieskiewicz, Andrzej, Rogowski, Marek, Mariak, Zenon
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Vienna 2014
Materias:
How I Do it - Neurosurgical Techniques
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4166432/
https://www.ncbi.nlm.nih.gov/pubmed/25160850
http://dx.doi.org/10.1007/s00701-014-2205-7
Descripción
Sumario:BACKGROUND: Lateral orbitotomy can be minimalized using contemporary endoscopy. METHODS: Anatomy of the temporal fossa/orbital wall junction is described. The attachment of the temporal fascia is cut off from the orbital rim through a 1.5 cm skin incision in the lateral orbital wrinkle. The temporal muscle is detached from the bone to create a space for the telescope. An appropriate bone opening in the lateral orbital wall is created with the aid of neuronavigation to handle intraorbital pathology. CONCLUSION: Endoscopic lateral orbitotomy is an original alternative to the microsurgical Krönlein approach and yields good functional and cosmetic results. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1007/s00701-014-2205-7) contains supplementary material, which is available to authorized users.

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