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Endoscopic transnasal approach to medial orbital lesions

Published online by Cambridge University Press:  21 July 2015

S H Tan  and
N Prepageran
S H Tan*
Affiliation:
Department of Otolaryngology, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia
N Prepageran
Affiliation:
Department of Otolaryngology, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia
*
Address for correspondence: Dr S H Tan, Department of Otolaryngology, Faculty of Medicine, University Malaya, Lembah Pantai, 50603 Kuala Lumpur, Malaysia Fax: +60379556963 E-mail: sienic@yahoo.com
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Abstract

Objective:

This case report presents our experience of endoscopic transnasal management of medial intra- and extraconal lesions.

Case report:

An endoscopic transnasal approach to intra-orbital lesions was used for nine patients. Four patients had intraconal lesions and five had lesions in the extraconal space. Post-operatively, seven patients reported an improvement in visual acuity and two reported stable vision. There were no complications of cerebrospinal leakage or diplopia.

Conclusion:

This case series demonstrated the safety and effectiveness of an endoscopic transnasal approach to managing intraconal and extraconal lesions. This minimally invasive technique should be considered a valid alternative for accessing orbital tumours, particularly those located in the medial compartment.

Keywords

EndoscopyOrbitOptic NerveNeuronavigation
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 129 , Issue 9 , September 2015 , pp. 928 - 931
Copyright
Copyright © JLO (1984) Limited 2015 

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