Intraconal Retroorbital Cavernous Hemangioma - A Case Report

Area of Science:

• Ophthalmology
• Neurosurgery
• Head and Neck Surgery

Background:

• Cavernous hemangiomas are benign, slow-growing vascular tumors.
• Orbital cavernous hemangiomas can lead to proptosis and vision impairment due to optic nerve compression.
• Diagnosis is typically achieved through clinical examination and imaging (CT/MRI).

Purpose of the Study:

• To report a case of orbital cavernous hemangioma treated with transnasal endoscopic excision.
• To highlight the efficacy and safety of the transnasal endoscopic approach for orbital tumor removal.

Main Methods:

• A 65-year-old male patient with a 5-year history of left eye proptosis and 4 years of decreased vision was evaluated.
• MDCT scan revealed a large retroocular, intraconal mass in the left orbit.
• Tumor excision was performed using a transnasal endoscopic approach.

Main Results:

• Histopathological examination confirmed the mass as a cavernous hemangioma.
• The transnasal endoscopic approach provided safe and effective tumor excision.
• The patient experienced satisfactory results with no recurrence at three months follow-up.

Conclusions:

• Transnasal endoscopic surgery is a viable and effective method for excising orbital cavernous hemangiomas.
• Experienced surgeons are crucial for successful endoscopic procedures.
• This approach offers a safe alternative for managing orbital tumors causing significant symptoms.