Title: Clinical Assessment, Management and Histo-Pathological Study of Orbital Tumours – A Prospective Clinical Study
Author: Dr K.M Suresh, MBBS,MS(OPH)
DOI: http://dx.doi.org/10.18535/jmscr/v4i3.05
Aim of this study is to assess and categorize , the clinico-pathological distribution, management, surgical approaches followed in various types of orbital tumours which were encountered in our practice from October 1994 to till date(January 2016) Materials and methods consisted of 30 patients, with orbital swellings, who visited the outpatient department of Kempegowda Institute of Medical Sciences,- Bangalore and Rajarajeshwari Medical College- Bangalore, where the author has worked in the capacities of Assistant Professor, and Associate Professor respectively. Majority of the cases visited his outpatient department, in Vidya Eye Hospital, Bangalore, where the author is the proprietor. Basic clinical examination was done in each case. Later, investigated by radiography, CT-Scan, MRI to assess, the characteristics and extension of the tumour, to extraorbital areas. Suitable orbitotomy procedures were chosen depending upon the cases. The tumours removed thus were subjected for histo-pathological examination. The conclusion was drawn based on our clinical experience in managing these cases 1. Surgery for orbital tumors. Part II: transorbital approaches KIMBERLEY P. COCKERHAM, M.D., GHASSAN K. BEJJANI, M.D., JOHN S. KENNERDELL, M.D., AND JOSEPH C. MAROON, M.D.Department of Ophthalmology, Allegheny General Hospital; and Department of Neurosurgery,University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania 2. Benedict WL: Surgical treatment of tumors and cysts of the orbit. Am J Ophthalmol 32:763–773, 194. 3. Primary orbital tumors: A review of 122 cases during a 23-year period: A histo-clinical study in material from the ENT Department of the Medical University of SilesiaJarosław Markowski,1,A,B,C,D Estera Jagosz-Kandziora,1,B,C,E Wirginia Likus,2,C,E,F Jacek Pająk,3,C Ewa Mrukwa-Kominek,4,F Jarosław Paluch,1,B and Włodzimierz Dziubdziela4 4. Maroon JC, Onik G, Quigley MR, et al: Cryosurgery re-visited for the removal and destruction of brain, spinal and orbital tumours. Neurol Res 14:294–302, 1992 5. Mendoza-Santiesteban E, Mendoza-Santiesteban CE, Berazaín AR, et al. Diagnosis and surgical treatment of orbital tumors. Semin Ophthalmol. 2010;25(4):123–29. [PubMed] 6. Kronish JW, Dortzbach RK: Upper eyelid crease surgical approach to dermoid and epidermoid cysts in children. Arch Ophthalmol 106:1625–1627, 1998 7. Khan SN, Sepahdari AR. Orbital masses: CT and MRI of common vascular lesions, benign tumors, and malignancies. Saudi J Ophthalmol. 2012;26(4):373–83. [PMC free article] [PubMed] 8. Halli RC, Mishra S, Kini YK, et al. Modified lateral orbitotomy approach: a novel technique in the management of lacrimal gland tumors. J Craniofac Surg. 2011;22(3):1035–38. [PubMed] 9. Demirci H, Shields CL, Shields JA, et al. Orbital tumors in the older adult population. Ophthalmology.2002;109(2):243–48. [PubMed] 10. Hurwitz JJ, Mishkin SK: The value of cryoprobe-assisted removal of orbital tumors. Ophthalmic Surg 19:94–97, 199 11. Schwartz RM, Coupland SE, Finger PT. Cancer of the orbit and adnexa. Am J Clin Oncol. 2013;36(2):197–205. [PubMed] 12. Carta F, Siccardi D, Cossu M, et al: Removal of tumours of the orbital apex via a postero-lateral orbitotomy. J Neurosurg Sci 42:185–188, 1998 13. Carter JB: Transconjunctival resection of an orbital dermoid tumor. J Maxillofac Surg 13:239–242, 1985 14. Ohtsuka K, Hashimoto M, Suzuki Y. A review of 244 orbital tumors in Japanese patients during a 21-year period: origins and locations. Jpn J Ophthalmol. 2005;49(1):49–55. [PubMed] 15. Berke RN (1953) A modified Krönlein operation. Trans Am Ophthalmol Soc 51:193–226 16. HOW I DO IT - NEUROSURGICAL TECHNIQUESEndoscopic lateral orbitotomyTomasz Lyson & Andrzej Sieskiewicz & Marek Rogowski & Zenon Mariak Acta Neurochir (2014) 156:1897–1900 DOI 10.1007/s00701-014-2205-7 17. Hassler W, Schaller C, Farghaly F, et al: Transconjunctival approach to a large cavernoma of the orbit. Neurosurgery 34:859–862, 1994Abstract
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