Surgical approaches to cavernous haemangiomas of the orbit

Abstract Cavernous haemangiomas are the most common orbital masses and the second most common cause of unilateral proptosis after thyroid ophthalmopathy. We retrospectively analysed 19 patients with retrobulbar cavernous haemangiomas, 9 of whom had lateral orbitotomy to remove retrobulbar cavernous...

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Bibliographic Details
Published in:British journal of oral & maxillofacial surgery 2007-09, Vol.45 (6), p.457-462
Main Authors: Brusati, R, Goisis, M, Biglioli, F, M.Guareschi, Nucci, P, Gianni, A.B, Miglior, S
Format: Article
Language:English
Subjects:
Adult
Aged
Biological and medical sciences
Cavernous
Dentistry
Female
Haemangioma
Hemangioma, Cavernous - surgery
Humans
Male
Medical sciences
Middle Aged
Ophthalmologic Surgical Procedures - methods
Orbit
Orbital Neoplasms - surgery
Orbitotomy
Otorhinolaryngology. Stomatology
Retrobulbar
Retrospective Studies
Surgery
Tumour
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Summary:Abstract Cavernous haemangiomas are the most common orbital masses and the second most common cause of unilateral proptosis after thyroid ophthalmopathy. We retrospectively analysed 19 patients with retrobulbar cavernous haemangiomas, 9 of whom had lateral orbitotomy to remove retrobulbar cavernous haemangiomas located superior ( n = 4), inferior ( n = 2) or lateral ( n = 3) to the optic nerve. Seven patients had lateral orbitotomy together with an anterior medial approach to gain access to retrobulbar cavernous haemangiomas located medially to the optic nerve in the posterior half of the orbit. An anterior approach was used in 3 patient with an anteriorly located cavernous haemangioma. We describe here the planning of surgical treatment based on the site of the lesion.
ISSN:0266-4356
1532-1940
DOI:10.1016/j.bjoms.2006.11.018