Related Experiment Video
Updated: May 4, 2026
05:30
Laparoscopic Anatomical Right Hemihepatectomy via the In Situ Anterior Approach
Published on: August 8, 2025
798
Endoscopic resection of orbital hemangiomas
Nipun Chhabra1, Arthur W Wu, Aaron Fay
1Massachusetts Eye and Ear Infirmary, Department of Otolaryngology-Head and Neck Surgery, Harvard Medical School, Boston, MA.
International Forum of Allergy & Rhinology
|January 14, 2014
Summary
Endoscopic transnasal surgery offers a minimally invasive approach for orbital hemangiomas, improving vision and reducing complications compared to traditional methods.
Area of Science:
- Ophthalmology
- Neurosurgery
- Endoscopic Surgery
Background:
- Cavernous hemangiomas are common adult orbital tumors.
- Traditional orbitotomy for intraconal lesions presents visualization and access challenges, particularly at the orbital apex.
- These challenges can lead to increased patient morbidity.
Observation:
- A retrospective review of 5 patients with medial orbital apex hemangiomas treated between 2007-2011.
- All patients presented with proptosis and/or optic neuropathy.
- Tumors averaged 1.7 cm; surgeries were performed via an endoscopic transnasal approach.
Findings:
- Endoscopic resection provided enhanced surgical access to the posterior medial orbit.
- Proptosis improved by an average of 1.75 mm, and visual acuity improved by 1.8 Snellen lines.
- One patient had subtotal resection; no long-term adverse sequelae were reported.
Implications:
- Endoscopic techniques may reduce patient morbidity associated with orbital hemangioma resection.
- This approach offers an advantage over conventional orbitotomy for posterior medial orbital lesions.
- Minimally invasive endoscopic surgery shows promise for treating complex orbital tumors.
