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Craniofacial resection for orbital tumours.

A D Cheesman1, R E Quiney, J E Wright

  • 1Moorfields Eye Hospital, London.

Annals of the Royal College of Surgeons of England
|September 1, 1989
PubMed
Summary
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A novel craniofacial approach offers improved surgical access for orbital tumors, enabling complete single-block excision. This technique provides excellent oncological resection with low morbidity and satisfactory cosmetic outcomes.

Area of Science:

  • Oncology
  • Surgical Oncology
  • Otorhinolaryngology

Background:

  • Craniofacial resection for nasal and paranasal sinus tumors is an established surgical approach.
  • Increasing prevalence necessitates advanced surgical techniques for complex tumor excisions.

Purpose of the Study:

  • To evaluate a modified craniofacial approach for orbital tumor excision.
  • To assess the efficacy and safety of this technique in achieving complete tumor removal.

Main Methods:

  • Retrospective case series of nine patients undergoing the modified craniofacial resection.
  • Focus on surgical technique, oncological outcomes, postoperative morbidity, and cosmetic results.

Main Results:

  • The modified craniofacial approach provided excellent surgical exposure for orbital tumors.

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  • Complete tumor excision as a single block was achieved in all cases.
  • The procedure demonstrated low postoperative morbidity and satisfactory cosmetic results.
  • Conclusions:

    • This modified craniofacial resection is a valuable technique for managing orbital tumors.
    • It facilitates complete oncological resection of large malignant tumors with clear margins.
    • The approach offers significant advantages in terms of exposure, oncological control, and patient outcomes.