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“Push–Pull Technique” for the Management of a Selected Superomedial Intraorbital Lesion

Orbital lesions are traditionally managed through external approaches when laterally located, and through a transnasal approach or other external approaches when medially located. However, when the lesion is superomedially located, it may determine a technical challenge. In this study, we present th...

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Autores principales: Castelnuovo, Paolo, Fiacchini, Giacomo, Fiorini, Francesca Romana, Dallan, Iacopo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Thieme Medical Publishers 2018
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6010357/
https://www.ncbi.nlm.nih.gov/pubmed/29930987
http://dx.doi.org/10.1055/s-0038-1661417
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author Castelnuovo, Paolo
Fiacchini, Giacomo
Fiorini, Francesca Romana
Dallan, Iacopo
author_facet Castelnuovo, Paolo
Fiacchini, Giacomo
Fiorini, Francesca Romana
Dallan, Iacopo
author_sort Castelnuovo, Paolo
collection PubMed
description Orbital lesions are traditionally managed through external approaches when laterally located, and through a transnasal approach or other external approaches when medially located. However, when the lesion is superomedially located, it may determine a technical challenge. In this study, we present the case of a patient with a superomedial intraconal venous malformation of the left eye. We addressed the mass through a combined approach, using the transnasal route as the main approach, and the superior eyelid approach to push down the lesion to facilitate the excision. We have called this approach “push–pull technique.” We achieved a complete resection of the lesion and did not observe any intraoperative or postoperative complications. The last follow-up at 6 months postoperatively showed no recurrence, and the patient was satisfied and completely recovered. According to our experience, the “push–pull” technique seems to be a safe procedure and might be considered a valid alternative to address selected superomedial intraconal lesions.
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spelling pubmed-60103572018-06-21 “Push–Pull Technique” for the Management of a Selected Superomedial Intraorbital Lesion Castelnuovo, Paolo Fiacchini, Giacomo Fiorini, Francesca Romana Dallan, Iacopo Surg J (N Y) Orbital lesions are traditionally managed through external approaches when laterally located, and through a transnasal approach or other external approaches when medially located. However, when the lesion is superomedially located, it may determine a technical challenge. In this study, we present the case of a patient with a superomedial intraconal venous malformation of the left eye. We addressed the mass through a combined approach, using the transnasal route as the main approach, and the superior eyelid approach to push down the lesion to facilitate the excision. We have called this approach “push–pull technique.” We achieved a complete resection of the lesion and did not observe any intraoperative or postoperative complications. The last follow-up at 6 months postoperatively showed no recurrence, and the patient was satisfied and completely recovered. According to our experience, the “push–pull” technique seems to be a safe procedure and might be considered a valid alternative to address selected superomedial intraconal lesions. Thieme Medical Publishers 2018-06-20 /pmc/articles/PMC6010357/ /pubmed/29930987 http://dx.doi.org/10.1055/s-0038-1661417 Text en https://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Castelnuovo, Paolo
Fiacchini, Giacomo
Fiorini, Francesca Romana
Dallan, Iacopo
“Push–Pull Technique” for the Management of a Selected Superomedial Intraorbital Lesion
title “Push–Pull Technique” for the Management of a Selected Superomedial Intraorbital Lesion
title_full “Push–Pull Technique” for the Management of a Selected Superomedial Intraorbital Lesion
title_fullStr “Push–Pull Technique” for the Management of a Selected Superomedial Intraorbital Lesion
title_full_unstemmed “Push–Pull Technique” for the Management of a Selected Superomedial Intraorbital Lesion
title_short “Push–Pull Technique” for the Management of a Selected Superomedial Intraorbital Lesion
title_sort “push–pull technique” for the management of a selected superomedial intraorbital lesion
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6010357/
https://www.ncbi.nlm.nih.gov/pubmed/29930987
http://dx.doi.org/10.1055/s-0038-1661417
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