Minireviews
Copyright ©The Author(s) 2015.
World J Clin Cases. Mar 16, 2015; 3(3): 270-274
Published online Mar 16, 2015. doi: 10.12998/wjcc.v3.i3.270
Table 1 Hallmarks of the surgical approaches to the orbit
ApproachRef.LocationSizeContraindicationAdvantagesDisadvantages
Lateral orbitotomyArai et al[14]Lateral, dorsal and basal to the ONAllMedial locationGood viewCosmetic scar
Carta et al[11]
TransconjunctivalCheng et al[16]Basal and medial intra-extraconal tumorsSmallMedium size and large tumorsMinimally invasiveLimited view
SupraorbitalMaus et al[19]Superior, lateral and medialAllBasal locationGood viewCosmetic scar
PterionalSchick et al[24]Superior and medialAllBasal locationGood viewInvasive
Contralateral pterionalHassler et al[20]Superior and medialAllBasal locationGood viewInvasive
Endonasal microsurgicalMir-Salim et al[8]Intraconal lesionsAllLateral locationThree-dimensional viewLong approach distance and limited view
Endonasal endoscopicCastelnuovo et al[25]Inferior and medial to the ON, paranasal sinusesMediumLateral locationMinimally invasive, better cosmetic outcome, short recovery timeTwo visual dimensions, Small operative field
CombinedTranscaruncular and transnasal endoscopic cryo-assistedCampbell et al[7]Orbital apexAllSolid consistencyTo ablate vascular tumorsCosmetic scar
Inferior transconjunct, orbitotomy and transantral endoscopicTsirbas et al[22]Posterior orbit, orbital apexAllMedial locationImproved visualization and limited manipulation within the orbitCosmetic scar
Transorbital endoscopicRivkin et al[10]Posterior lateralAllMedial locationDecreased surgical morbidity, improved cosmesisTwo-dimensional view, learning curve