Endoscopic Bimanual Approach to an Intraconal Cavernous Hemangioma of the Orbital Apex With Vascularized Flap Reconstruction

被引：32

作者：

Healy, David Y., Jr. ^{[1
]}

Lee, N. Grace ^{[2
]}

Freitag, Suzanne K. ^{[2
]}

Bleier, Benjamin S. ^{[1
]}

机构：

[1] Harvard Univ, Sch Med, Dept Otolaryngol, Massachusetts Eye & Ear Infirm, Boston, MA 02115 USA

[2] Harvard Univ, Sch Med, Dept Ophthalmol, Massachusetts Eye & Ear Infirm, Boston, MA USA

来源：

OPHTHALMIC PLASTIC AND RECONSTRUCTIVE SURGERY | 2014年 / 30卷 / 04期

关键词：

LESIONS; TUMORS; NERVE;

D O I：

10.1097/IOP.0b013e3182a22ed1

中图分类号：

R77 [眼科学];

学科分类号：

100212 ;

摘要：

The aim of this study was to describe a transnasal endoscopic bimanual technique for the removal of an intraconal orbital apex cavernous hemangioma. Report of a surgical technique. A 39-year-old woman with unilateral visual loss and proptosis was found to have an intraconal orbital apex mass consistent radiographically with cavernous hemangioma. Because of its posteromedial location within the orbit, a transnasal 4-handed endoscopic technique was used with pedicled nasoseptal flap reconstruction. The tumor was excised, and the patient had no complications. The transnasal endoscopic approach to orbital apex cavernous hemangioma excision is a viable surgical approach for these difficult to access lesions. The medial orbital wall may be simultaneously reconstructed to prevent diplopia and enophthalmos.

引用

页码：E104 / E106

页数：3

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