[Excisional surgery of orbital tumors]

Area of Science:

• Ophthalmology
• Neurosurgery
• Otorhinolaryngology

Background:

• Orbital tumors necessitate surgical intervention for diagnosis and treatment.
• Indications vary from biopsy to complete excision, depending on malignancy and invasiveness.
• Benign tumors are often treated based on symptoms and cosmetic concerns.

Purpose of the Study:

• To present preoperative examinations for orbital tumors.
• To detail surgical access approaches for diverse orbital regions.
• To highlight endoscopic procedures and intraoperative navigation methods.

Main Methods:

• Magnetic resonance imaging (MRI) and computed tomography (CT) are primary diagnostic tools.
• Advanced imaging like CT angiography and digital subtraction angiography (DSA) supplement diagnosis.
• Surgical approaches include anterior, lateral, transcranial, endonasal, and transantral orbitotomies.

Main Results:

• Specific surgical approaches are indicated for different orbital tumor locations.
• Endoscopic procedures and intraoperative navigation enhance modern orbital surgery.
• Optimal management requires a multidisciplinary approach at specialized centers.

Conclusions:

• Surgical strategy for orbital tumors is tailored to diagnosis, location, and invasiveness.
• Advanced imaging and surgical techniques improve treatment efficacy.
• Interdisciplinary collaboration is essential for comprehensive orbital tumor management.