Anteromedial approach to the orbit

Area of Science:

• Ophthalmology
• Neurosurgery
• Otorhinolaryngology

Background:

• Orbital lesions require surgical intervention with minimal damage to surrounding structures.
• The anteromedial approach is a surgical technique for accessing orbital pathologies.

Purpose of the Study:

• To evaluate the surgical outcomes of the anteromedial approach for treating orbital lesions.
• To assess the safety and efficacy of this surgical technique.

Main Methods:

• Retrospective evaluation of 16 patients with orbital lesions treated via anteromedial approach.
• Pre- and postoperative assessments included physical examination, ophthalmologic evaluation, CT, and MRI.
• Surgical techniques involved medial orbitotomy, with or without external sphenoethmoidectomy.

Main Results:

• Complete tumor removal was achieved in all but one patient with recurrent clival chordoma.
• Common pathologies included fibro-osseous lesions, cavernous hemangiomas, and dermoid cysts.
• No recurrence was observed during 18-48 months follow-up; cosmetic results were acceptable.

Conclusions:

• The anteromedial approach provides a wide working space and direct exposure for orbital lesion removal.
• This technique effectively protects intraorbital neurovascular structures.
• The anteromedial approach is a safe and effective method for managing various orbital pathologies.