Modified Orbitozygomatic Craniotomy Approach for a Recurrent Orbital Tumor in a Pediatric Patient

: This report aims to present the case of a pediatric patient with a recurrent tumor in the superolateral orbit. : An 8-year-old patient was initially treated for a tumor in the superolateral orbit via a transconjunctival approach. The histopathological diagnosis was epidermoid cyst. Postoperatively...

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Bibliographic Details
Published in:Medicina (Kaunas, Lithuania) Lithuania), 2024-08, Vol.60 (8), p.1267
Main Authors: Chrenko, Róbert, Bušányová, Beáta, Gerinec, Anton, Tomčíková, Dana, Rýchly, Boris, Grega, Marek, Hanko, Martin, Nedomová, Barbora
Format: Article
Language:English
Subjects:
Case Report
Child
Children
Craniotomy - methods
Cysts
Diseases
Edema
Epidermal Cyst - diagnostic imaging
Epidermal Cyst - surgery
Health aspects
Humans
Infections
Magnetic resonance imaging
Magnetic Resonance Imaging - methods
Male
modified orbitozygomatic craniotomy
Neoplasm Recurrence, Local - surgery
orbit
Orbit - diagnostic imaging
Orbit - surgery
Orbital Neoplasms - surgery
Otolaryngology
pediatric
Pediatrics
Relapse
Surgeons
Surgical techniques
Sutures
Traumatic brain injury
tumor
Tumors
Zygoma - surgery
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Summary:: This report aims to present the case of a pediatric patient with a recurrent tumor in the superolateral orbit. : An 8-year-old patient was initially treated for a tumor in the superolateral orbit via a transconjunctival approach. The histopathological diagnosis was epidermoid cyst. Postoperatively, chronic inflammation and fistula developed in the lateral canthus area. Magnetic resonance imaging revealed a residual tumor posterior to the original tumor location. The patient was treated via a modified orbitozygomatic (mOZ) craniotomy approach that was originally applied in neurosurgery, and complete tumor removal was achieved. A temporary paralysis of the frontotemporal branch of the facial nerve was observed and fully resolved within one month following surgery. At the 18th month of follow-up, the visual, neurological, and cosmetic results were found to be satisfactory. : mOZ craniotomy can be used to access and operate on recurrent orbital tumors in pediatric patients where other more aggressive surgical approaches should be avoided.
ISSN:1648-9144
1010-660X
1648-9144
DOI:10.3390/medicina60081267