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Versatility of Lateral Orbitotomy Approach for Intra-orbital Lesions-A Retrospective Study
Arunkumar Kamalakaran1, Balaji Jayaraman1, Rohini Thirunavukarasu1
1Department of Oral and Maxillofacial Surgery, Tamilnadu Government Dental College and Hospital, Chennai, Tamilnadu India.
Journal of Maxillofacial and Oral Surgery
|April 13, 2026
Summary
Lateral orbitotomy is a safe and effective surgical approach for orbital tumors. This technique provides good outcomes for accessing lesions in the lateral orbit with minimal complications.
Area of Science:
- Ophthalmology
- Neurosurgery
- Surgical Oncology
Background:
- Orbital tumors can affect any orbital region.
- Surgical approach selection depends on tumor location and extent.
- Lateral orbitotomy, described by Kronlein in 1889, is a surgical technique.
Purpose of the Study:
- To evaluate the effectiveness of lateral orbitotomy for accessing pathologies in the lateral orbit.
- To assess surgical outcomes and complications associated with lateral orbitotomy.
Main Methods:
- Retrospective study of 10 patients undergoing lateral orbitotomy.
- Treatment of lesions located lateral to the optic nerve.
- Follow-up period ranged from 2 to 3 years.
Main Results:
- Significant improvement in proptosis observed in all patients.
- Complete resolution of diplopia and restricted extraocular movements in 100% of affected patients.
- Good surgical outcomes achieved in 80% of patients; one case of ophthalmoplegia reported.
Conclusions:
- Lateral orbitotomy is a safe and effective surgical approach for orbital lesions.
- Offers good aesthetic results and minimal morbidity compared to transcranial methods.
- Suitable for accessing lesions in the lateral and superolateral orbital compartments.
