Yao William C, Bleier Benjamin S
aDepartment of Otorhinolaryngology - Head and Neck Surgery, University of Texas Medical School at Houston, Houston, Texas bDepartment of Otolaryngology - Head and Neck Surgery, Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, Massachusetts, USA.
Curr Opin Otolaryngol Head Neck Surg. 2016 Feb;24(1):57-62. doi: 10.1097/MOO.0000000000000215.
Orbital tumors have been classically approached via external incision. The introduction of endoscopic surgery has revolutionized the management of sinus and skull base disorder. Similarly, endoscopic techniques have been increasingly utilized to access intraorbital tumors located in the medial and inferior orbit with excellent outcomes. The history of the procedure, surgical anatomy of the orbit, patient selection, surgical planning, and the surgical techniques are discussed in this article.
Although the endoscopic management of orbital tumors is still in its infancy, it has already demonstrated enhanced access to the posterior orbit and orbital apex with decreased morbidity relative to external approaches.
A multidisciplinary team approach, including an oculoplastic surgeon, is an essential component for the surgical planning and management. As the cumulative surgical experience increases, the indications for this approach will likely continue to expand.
眼眶肿瘤传统上通过外部切口进行处理。内镜手术的引入彻底改变了鼻窦和颅底疾病的治疗方式。同样，内镜技术越来越多地用于处理位于眼眶内侧和下方的眶内肿瘤，效果良好。本文讨论了该手术的历史、眼眶的手术解剖、患者选择、手术规划及手术技术。
尽管眼眶肿瘤的内镜治疗仍处于起步阶段，但与外部入路相比，它已显示出能更好地进入眼眶后部和眶尖，且发病率更低。
多学科团队方法，包括眼整形外科医生，是手术规划和管理的重要组成部分。随着累积手术经验的增加，这种方法的适应证可能会继续扩大。
