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- Title
ABORD TRANSCRANIAN ÎNTR-UN CAZ DE TUMORĂ ORBITALĂ – PREZENTARE DE CAZ.
- Authors
MATEI, C.; TEODORU, A.; STĂNILĂ, ADRIANA; TEODORU, MINODORA
- Abstract
Introduction: Modern surgery includes orbital surgery in the skull base surgery. For the orbital tumours located in the orbital apex, most authors recommend the transcranial approach. This approach is recommended to be performed by a multidisciplinary team consisted of neurosurgeon, ophthalmologist and ENT surgeon. This route is used for tumours located posteriorly in the orbital cavity. Objectives: The aim of our paper is to highlight the role of the transcranial approach in orbital tumours surgical treatment. Methods: This paper presents a case of a male patient, 28 years of age, admitted in the Neurosurgery Department of the County Emergency Clinical Hospital of Sibiu for an orbital tumour. Upon admission, the clinical examination revealed right hemicrania, right propotosis, decreased visual acuity and modifications of the visual fields. Neuroimagistic examinations consisted in CT and MRI and revealed a right orbital mass, round, well circumscribed, with inhomogeneous contrast enhancement; the tumour filled all the intraconal retroocular space that spares the triangular space in the orbital apex. The treatment consisted in frontal craniotomy with extradural orbital approach with orbital roof removal, gross total tumour removal and cranial base reconstruction with Titanium Dynamic Mesh. Results: The postoperative course was uneventfully and the patient was discharged on the seventh day postoperatively in a very good condition. Histopathological examination revealed cavernous hemangioma. Conclusions: Transcranial route for orbital tumours remains one of the most important approaches especially for tumours situated posteriorly in the orbital cavity. A multidisciplinary team involved in diagnosis and treatment provide superior results.
- Subjects
EYE-socket tumors; MEDICAL imaging systems
- Publication
Acta Medica Transilvanica, 2012, Vol 17, Issue 4, p29
- ISSN
1453-1968
- Publication type
Case Study