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Trans-septal suture retraction for endoscopic orbital surgery
Matthew Kim1, David A Gudis1, Andrea A Tooley2
1Division of Rhinology and Anterior Skull Base Surgery, Department of Otolaryngology - Head and Neck Surgery, Columbia University Irving Medical Center, NewYork-Presbyterian Hospital , New York, NY, USA.
Orbit (Amsterdam, Netherlands)
|November 20, 2019
Summary
A new endoscopic trans-septal suture retraction technique aids minimally invasive orbital tumor surgery. This method safely retracts soft tissue, facilitating dissection from critical intraorbital structures.
Area of Science:
- Ophthalmology
- Neurosurgery
- Endoscopic Surgery
Background:
- Minimally invasive orbital surgery techniques are evolving.
- Traditional methods include muscle mobilization and cryoretraction.
- Endoscopic approaches offer enhanced visualization and access.
Observation:
- A 36-year-old male presented with proptosis and decreased visual acuity.
- Imaging confirmed a 2.5 cm orbital cavernous hemangioma.
- A combined transconjunctival and endoscopic approach was utilized.
Findings:
- Endoscopic trans-septal suture retraction facilitated dissection of the orbital cavernous hemangioma.
- Complete extracapsular resection of the lesion was achieved.
- The inferomedial orbit was reconstructed using a synthetic implant.
Implications:
- Trans-septal suture retraction is an effective adjunctive technique for endonasal endoscopic orbital tumor surgery.
- This technique allows safe retraction and dissection of soft tissue lesions.
- It improves the safety and efficacy of minimally invasive orbital tumor resections.
