[Microsurgical treatment of apical region by combined orbital pterygoid approach].

OBJECTIVE

To study microsurgical treatment of orbital apical region tumor by combined orbital pterygoid approach.

METHOD

In 21 cases, manifestations and surgical methods were analyzed retrospectively. The surgical approach and procedure were discussed.

RESULTS

All the 21 cases were treated by combined orbital pterygoid approach. The tumors were removed completely in 18 cases, and partially resected in 3. There was no death.

CONCLUSIONS

This kind of mass is difficult to explore by either transorbital or transcranial approach because of its position. Combined orbital pterygoid approach provides better access and exploration. Appropriate surgical approach, hemostasis and gentle microsurgical manipulation are the key to reducing postoperative complications.