In the management of orbital disorders and defects, minimally invasive surgical approaches have become increasingly efficient for their reduction of operative trauma and access without compromise of therapeutic benefit or diagnostic yield. Various approaches have focused on bone- and canthal-sparing techniques and concealed and small skin incisions. We review the current state of knowledge of procedures to enter the orbit via the conjunctiva. Any quadrant of the orbit can be accessed via the conjunctiva. Surgical incisions involve the orbital palpebral, forniceal, and bulbar conjunctiva. According to the location, nature, and size of the lesion, the transconjunctival orbitotomy can be used as a single procedure, in combination with a caruncular approach or as an adjunct in a multidisciplinary procedure for lesions extending deep into or outside the orbit. The working space and field of operating view can be expanded by releasing the horizontal tension of the eyelid with a lateral cantholysis, lateral paracanthal blepharotomy, or medial lid split procedure. Complications related to the conjunctival incision are reduced to dry eye disease.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1016/j.survophthal.2022.11.003 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
A simple transconjunctival technique for the management of intraconal orbital hydatid cyst.
Indian J Ophthalmol
February 2025
Department of Ophthalmology, Assiut University Hospital, Assiut, Egypt.
Purpose: To present a simple transconjunctival technique for the excision of intraconal orbital hydatid cysts.
Methods: This retrospective, non-comparative, clinical intervention case study was conducted between April 2018 and October 2023. The study included five patients presented to the Orbital unit of Assiut University Hospital with an intraconal orbital cyst, which histologically proved to be a hydatid cyst.
Adjunctive aspiration technique for the surgical management of deep orbital cavernous hemangioma.
Indian J Ophthalmol
November 2024
College of Medicine, National Taiwan University, Taipei, Taiwan.
To propose a needle aspiration technique for the surgical removal of orbital cavernous hemangioma. In this retrospective case series, we enrolled 13 patients with orbital cavernous hemangioma, who underwent excisional surgery assisted with needle aspiration technique from June 2013 to April 2022. Preoperative symptoms, clinical examination, and imaging features were recorded.
View Article and Find Full Text PDFThe lateral fornix orbitotomy: a novel surgical corridor to lacrimal gland lesions.
Graefes Arch Clin Exp Ophthalmol
December 2024
Department of Oculoplastic, Orbital & Lacrimal Surgery, Aichi Medical University Hospital, Nagakute, Aichi, Japan.
Purpose: Current practice for diagnostic biopsy of lacrimal gland lesions entails an orbitotomy procedure via an upper eyelid crease or lateral canthotomy skin incision. We describe a novel surgical technique to address these lesions via the lateral conjunctival fornix.
Methods: Retrospective case series of all patients who underwent a lateral fornix orbitotomy procedure for incisional or excisional diagnostic biopsy of lacrimal gland lesions.
Neuroanatomical perspectives on transorbital approaches: A meta-analysis.
Surg Neurol Int
June 2024
Department of Neurosurgery, Neurosurgery Teaching Hospital, Baghdad, Iraq.
Background: Transorbital approaches represent a paradigm shift in skull base surgery, focusing on minimally invasive techniques that prioritize patient outcomes and surgical precision. The scientific community, recognizing the significance of these advances, necessitates a possible review and meta-analysis to encapsulate the collective efficacy, safety, and developmental trajectory of these approaches.
Methods: This was a literature review targeting literature in the past 10 years to present evidence for studies on surgical approaches transorbital.
Intraosseous Hemangioma of the Zygomatic Bone with Multidisciplinary Approach to Surgical Resection and Orbital Reconstruction.
Eplasty
May 2024
Department of Otolaryngology, University of Tennessee Health Science Center College of Medicine, Memphis, Tennessee.
Article Synopsis
- * The surgery involved a collaboration between head and neck surgeons and oculofacial plastic surgeons, employing techniques like canthotomy and orbitotomy for tumor excision and reconstruction with a Medpor implant.
- * Post-surgery, the patient showed positive healing progress with no visual issues, and the coordinated approach ensured both aesthetic and functional restoration of the midface, achieving near symmetry in facial structure.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!