Surgical approaches for the Orbital Pathologies.

Muhammad Anwar; Naveed Ashraf; Muhammad Ashfaq; Zahid Kamal; Khalid Muhammad; Ibrahim Khalil; Younis

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Surgical approaches for the Orbital Pathologies.

Author(s)

Muhammad Anwar Department of Neurosurgery Unit II and Ophthalmology, Lahore General Hospital, Lahore, Pakistan

Naveed Ashraf Department of Neurosurgery Unit II and Ophthalmology, Lahore General Hospital, Lahore, Pakistan

Muhammad Ashfaq Department of Neurosurgery Unit II and Ophthalmology, Lahore General Hospital, Lahore, Pakistan

Zahid Kamal Department of Neurosurgery Unit II and Ophthalmology, Lahore General Hospital, Lahore, Pakistan

Khalid Muhammad Department of Neurosurgery Unit II and Ophthalmology, Lahore General Hospital, Lahore, Pakistan

Ibrahim Khalil Department of Neurosurgery Unit II and Ophthalmology, Lahore General Hospital, Lahore, Pakistan

Younis Department of Neurosurgery Unit II and Ophthalmology, Lahore General Hospital, Lahore, Pakistan

Abstract

Neuro-ophthalmology is an important sub-speciality of Neurosurgery and various approaches are being utilized to deal with the lesions of posterior part of orbit and adjacent areas. The objective was to assess the advantage of various approaches or newer modifications to deal with the lesions in the posterior part of orbit or those invading it from the contiguous areas like frontal sinus, anterior cranial fossa, and ethmoidal sinuses. This is a retrospective study. Thirty three patients admitted in the department of Neurosurgery Unit II suffering from lesions of posterior part of orbit or adjacent areas invading the orbital structures were included in the study. Cases were admitted through OPD or referred from Ophthalmology, Lahore General Hospital, Lahore or other hospitals. The study period nine years from November 1993 to November 2002. Various Surgical approaches were utilized depending upon the location of the lesion. Majority of the patients were operated upon by the fronto orbital approach (supra orbital approaches). Eighteen patients (54%) were operated by this approach. Frontal craniotomy and superior wall orbitotomy 6 (18%) cases. Frontal craniotomy was used in 2 (6%) cases. Supero lateral orbitotomy was done in 5 (15%) cases. Orbito zygomtic and transethmoidal approach was employed in one (3%) case each. Thirty-one (94%) patients had excellent recovery without any complication. Two (6%) cases had complications of CSF leakage from the wound, both settled well with the lumber drain. The conclusion is that appropriate selection of surgical approach for the orbital and adjacent areas pathologies is mandatory to achieve the good results. Supra orbital approach (Fronto orbital craniotomy) is one of the best approach for the pathologies of posterior orbit approach.

Publication Details

Page(s) 13-21

DOI DOI not available

Published Journal: Pakistan Journal of Neurological Surgery, Volume: 7, Issue: 1, Year: 2003

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