The site of the Media Sphera Publishers contains materials intended solely for healthcare professionals.
By closing this message, you confirm that you are a certified medical professional or a student of a medical educational institution.

Login
EN
+7 (495) 482-4118
+7 (495) 482-0604

  • © 1998-2025
+7 (495) 482-43-29
EN
All journals
Journal
Year
Year
Search result: 0

Dzhindzhikhadze R.S.

Kafedra neĭrokhirurgii GOU DPO RMAPO Roszdrava, Moskva

Dreval' O.N.

Rossiĭskaia meditsinskaia akademiia poslediplomnogo obrazovaniia, Moskva

Lazarev V.A.

Kafedra neĭrokhirurgii GOU DPO RMAPO Roszdrava, Moskva

Poliakov A.V.

Mediko-geneticheskiĭ nauchnyĭ tsentr RAMN, Moskva

The transpalpebral keyhole approach in surgery of orbital cavernomas: a case report and literature review

Authors:

Dzhindzhikhadze R.S., Dreval' O.N., Lazarev V.A., Poliakov A.V.

More about the authors

Journal: Burdenko's Journal of Neurosurgery. 2018;82(3): 73‑80

DOI: 10.17116/neiro201882373

Views: 1920

Downloaded: 67

Download PDF (RU)
Download PDF
Contact the author
Table of contents

To cite this article:

Dzhindzhikhadze RS, Dreval' ON, Lazarev VA, Poliakov AV. The transpalpebral keyhole approach in surgery of orbital cavernomas: a case report and literature review. Burdenko's Journal of Neurosurgery. 2018;82(3):73‑80. (In Russ., In Engl.)
https://doi.org/10.17116/neiro201882373

 
МСФ на ЯМ
Close metadata

Aim — currently, there are many different surgical approaches to orbital pathology. This pathology rarely occurs in neurosurgical practice, and neurosurgeons have often used approaches that can be accompanied by negative cosmetic and functional outcomes. Material and methods. We present a case report of orbital cavernoma removal via a minimally invasive approach. Results. The presented case demonstrates successful removal of orbital cavernoma using the transpalpebral approach: a skin incision along a natural fold of the upper eyelid and orbitofrontal keyhole craniotomy. In the postoperative period, existing symptoms regressed; the patient assessed the cosmetic effect as excellent. Conclusion. The transpalpebral keyhole approach can be an excellent alternative to traditional approaches to orbital cavernomas. This approach demonstrated its efficacy and safety in skull base surgery and provided excellent functional and cosmetic outcomes.

Keywords:

orbital cavernoma
keyhole neurosurgery
cosmetic and functional outcomes
transpalpebral approach

Authors:

Dzhindzhikhadze R.S.

Kafedra neĭrokhirurgii GOU DPO RMAPO Roszdrava, Moskva

Dreval' O.N.

Rossiĭskaia meditsinskaia akademiia poslediplomnogo obrazovaniia, Moskva

Lazarev V.A.

Kafedra neĭrokhirurgii GOU DPO RMAPO Roszdrava, Moskva

Poliakov A.V.

Mediko-geneticheskiĭ nauchnyĭ tsentr RAMN, Moskva

List of references:

  1. Acciarri N, Giulioni M, Padovani R, Gaist G, Pozzati E, Acciarri R. Orbital cavernous angiomas: surgical experience on a series of 13 cases. J Neurosurg Sci. 1995;39(4): 203-209. PMID: 8803840
  2. Hejazi N, Classen R, Hassler W. Orbital and cerebral cavernomas: comparison of clinical neuroimaging, and neurophyalmological features. Neurosurg Rev. 1999;22(1):28-33. https://doi.org/10.1007/s101430050005
  3. Schick U, Dott U, Hassler W. Surgical treatment of orbital cavernomas. Surg Neurol. 2003;60(3):234-244. https://doi.org/10.1016/s0090-3019(03)00136-8
  4. Cheng JW, Wei RL, Cai JP, Li Y. Transconjunctival orbitotomy for orbital cavernous hemangiomas. Can J Ophthalmol. 2008;43:234-238. https://doi.org/10.3129/i08-005
  5. Koerbel A, Ferreira VR, Kiss A. Combined transconjunctival-eyebrow approach providing minimally invasive access to all orbital quadrants. Technical note. Neurosurg Focus. 2007;23(5):E10. https://doi.org/10.3171/foc-07/11/e10
  6. Scheuerle AF, Steiner HH, Kolling G, Kunze S, Aschoff A. Treatment and long-term outcome of patients with orbital cavernomas. Am J Ophthalmol. 2004 Aug;138(2):237-244. https://doi.org/10.1016/j.ajo.2004.03.011
  7. Yan J, Wu Z. Cavernous hemangioma of the orbit: analysis of 214 cases. Orbit. 2004;23(1):33-40. https://doi.org/10.1076/orbi.23.1.33.28992
  8. McLean CJ. Benign orbital disease, in Collin R, Rose G. (ed). Fundamentals of clinical ophthalmology. Plastic and orbital surgery. V. 1, Chapter 12. London: BMJ Books. 2001;123-139.
  9. Henderson JW. Orbital tumors. 2nd ed. Thieme Stratton — New York, 1980;115-176
  10. Rootman J. Vascular malformations of the orbit: hemodynamic concepts. Orbit. 2003;22(2):103-120. https://doi.org/10.1076/orbi.22.2.103.14311
  11. Rootman J. Vascular lesions. In: Rootman J (ed). Diseases of the orbit. JB Lippincott Company, Philadelphia 1988.
  12. Yamasaki T, Handa H, Yamashita J, Paine JT, Tashiro Y, Uno A, Ishika-wa M, Asato R. Intracranial and orbital cavernous angiomas. A review of 30 cases. J Neurosurg. 1986;64(2):197-208. https://doi.org/10.3171/jns.1986.64.2.0197
  13. Di Tommaso L, Scarpellini F, Salvi F, Ragazzini T, Foschini MP. Progesterone receptor expression in orbital cavernous hemangiomas. Virchows Arch. 2000;436(3):284-288. https://doi.org/10.1007/s004280050042
  14. McNab AA, Selva D, Hardy TG, O’Donnel B. The anatomical location and laterality of orbital cavernous haemangiomas. Orbit. 2014;33(5):359-362. https://doi.org/10.3109/01676830.2014.915329
  15. McNab AA, Wright JE. Cavernous hemangiomas of the orbit. Clinical & Experimental Ophthalmol. 1989;17(4):337-345. https://doi.org/10.1111/j.1442-9071.1989.tb00551.x
  16. Harris GJ, Jakobiec FA. Cavernous hemangioma of the orbit. J Neurosurg. 1979;51:219-228. https://doi.org/10.3171/jns.1979.51.2.0219
  17. Maroon JC, Kennerdell JS. Surgical approaches to the orbit. Indications and techniques. J Neurosurg. 1984;60(6):1226-1235. https://doi.org/10.3171/jns.1984.60.6.1226
  18. Aymard PA, Langlois B, Putterman M, Jacomet PV, Morax S, Galatoire O. Management of orbital cavernous hemangioma — evaluation of surgical approaches: report of 43 cases. J Fr Ophtalmol. 2013;36(10):820-829. https://doi.org/10.1016/j.jfo.2013.04.009
  19. Rosen N, Priel A, Simon GJ, Rosner M. Cryo-assisted anterior approach for surgery of retroocularorbitaltumours avoids the need for lateral or transcranial orbitotomy in most cases. Acta Ophthalmol. 2010 Sep;88(6):675-680. https://doi.org/10.1111/j.1755-3768.2009.01515.x
  20. Wu ZY, Yan JH, Han J, Yang HS, Lin Z, Chen ZC, Ai SM, Mao YX. Diagnosis and surgical management of 209 cases of orbital cavernous hemangioma. Zhonghua Yan Ke Za Zhi. 2006;42(4):323-325. PMID: 16762209
  21. Hassler W, Schaller C, Farghaly F, Rohde V. Transconjunctival approach to a large cavernoma of the orbit. Neurosurgery. 1994;34(5):859-861. https://doi.org/10.1097/00006123-199405000-00011
  22. Rootman J, Heran MK, Graeb DA. Vascular malformations of the orbit: classification and the role of imaging in diagnosis and treatment strategies. Ophthal Plast Reconstr Surg. 2014;30(2):91-104. https://doi.org/10.1097/iop.0000000000000122
  23. Park SJ, Yang JW. The transconjunctival approach a minimally invasive approach to various kinds of retrobulbar tumors. J Craniofac Surg. 2013;24(6):1991-1995. https://doi.org/10.1097/scs.0b013e3182a28c0b
  24. Rootman J, Heran MK, Graeb DA. Vascular lesions of the Orbit: Classification and Management. In: Rootman J (ed). Orbital surgery. A conceptual approach. Section 4, Chapter 14. Philadelphia: Lippincott-Raven Publishers, 2014;2:381-397.
  25. Kiratli H, Bulur B, Bilgic S. Transconjunctival approach for retrobulbar intraconal orbital cavernous hemangiomas. Orbital surgeon’s perspective. Surg Neurol. 2005;64:71-74. https://doi.org/10.1016/j.surneu.2004.09.046
  26. Bleier BS, Castelnuovo P, Battaglia P, Turri-Zanoni M, Dallan I, Metson R, Sedaghat AR, Stefko ST, Gardner PA, Snyderman CH, Nogueira JF, Ramakrishnan VR, Muscatello L, Lenzi R, Freitag S. Endoscopic endonasal orbital cavernous hemangioma resection: global experience in techniques and outcomes. Int Forum Allergy Rhinol. 2016;6(2):156-161. https://doi.org/10.1002/alr.21645
  27. Leone CR, Wissinger JP. Surgical approaches to diseases of the orbital apex. Ophthalmology. 1988;95(3):391-397. https://doi.org/10.1016/s0161-6420(88)33174-x
  28. Krönlein R. Zur Pathologie und operative Behandlung der Dermoidzysten der Orbita. Beitr Klin Chir. 1889;4:149-163.
  29. Boari N, Gagliardi F, Castellazzi P, Mortini P. Surgical treatment of orbital cavernomas: clinical and functional outcome in a series of 20 patients. Acta Neurochir. 2011;153:491-498. https://doi.org/10.1007/s00701-010-0808-1
  30. Missori P, Tarantino R, Delfini R, Lunardi P, Cantore G. Surgical management of orbital cavernous angiomas: prognosis for visual function after removal. Neurosurgery. 1994;35:34-38. https://doi.org/10.1227/00006123-199407000-00005
  31. Maus M, Goldman HW. Removal of orbital apex hemangioma using new transorbital craniotomy through suprabrow approach. Ophthal Plast Reconstr Surg. 1999;15:166-170. https://doi.org/10.1097/00002341-199905000-00005
  32. Smith B. The anterior surgical approach to orbital tumors. Trans Am Acad Ophthalmol Otolaryngol. 1966;(70):607-611. PMID: 5967575
  33. Kersten RC, Kulwin DR. Vertical lid split orbitotomy revisited. Ophthal Plast Reconstr Surg. 1999;15:425-428. https://doi.org/10.1097/00002341-199911000-00011
  34. Grusha YaO, Ismailova DS, Eksarenko OV, Fedorov AA, Kharlap SI. Gigantskaya kavernoznaya gemangioma orbity (sluchai iz praktiki). Vestnik oftal’mologii. 2014;2:44-48. (In Russ.)
  35. Dzhindzhikhadze RS, Dreval’ ON, Lazarev VA, Kambiev RL. Kontseptsiya keyhole v khirurgii anevrizm. Neirokhirurgiya i nevrologiya Kazakhstana. 2016;2(43):16-23. (In Russ.)
  36. Dzhindzhikhadze RS, Dreval’ ON, Lazarev VA, Bogdanovich IO. Evolyutsiya khirurgicheskikh dostupov k perednei i srednei cherepnym yamkam: ot rasshirennoi kraniotomii k supraorbital’nomu keyhole dostupu. Voprosy neirokhirurgii. 2016;3: 99-105. (In Russ.) https://doi.org/10.17116/neiro201680399-105

Close metadata

Contact the author
Email
Message
The publishing house "Media Sphere" does not provide treatment services, does not give recommendations on contacting medical institutions and specific specialists, on the prescription of medicines and dietary supplements.

Email Confirmation

An email was sent to test@gmail.com with a confirmation link. Follow the link from the letter to complete the registration on the site.

Email Confirmation

Contact us
If you have any questions, complaints or suggestions, please use this feedback form.
Email
Message
The publishing house "Media Sphere" does not provide treatment services, does not give recommendations on contacting medical institutions and specific specialists, on the prescription of medicines and dietary supplements.
Submit Application

You can become an author of one of our magazines, send a request and we will consider it in during the day.

Name
Phone
E-mail
Message
Login
Registration
E-mail
Password
Forgot Password?

Log in to the site using your account in one of the services

Password recovery
E-mail
Login
Register

We use cооkies to improve the performance of the site. By staying on our site, you agree to the terms of use of cооkies. To view our Privacy and Cookie Policy, please. click here.