Kaderbhai Jameel, Lo William, Rodrigues Desiderio, White Nicholas, Evans Martin, Nishikawa Hiroshi, Dover Michael Stephen
Birmingham Women's and Children's NHS Foundation Trust, Birmingham, UK.
J Craniofac Surg. 2019 Jun;30(4):1198-1200. doi: 10.1097/SCS.0000000000005265.
Primary pediatric orbital tumors requiring surgery are uncommon and often require multidisciplinary management. Commonly used surgical approaches to the orbit include transconjunctival, transcutaneous (eyelid), transcranial, or extracranial osteotomies. This paper reviews a 10-year experience of cases that required a transcranial or extracranial surgical approach at the Birmingham Children's Hospital. A total of 9 patients were identified between the years 2008 to 2017. Pathologies included rhabdomyosarcoma, juvenile ossifying fibroma, optic nerve glioma, and retinoblastoma. Surgical approaches to the orbit included supraorbital bar osteotomy (transcranial) or lateral orbitotomy (extracranial). Surgical team members included neurosurgery, craniofacial surgery, and ophthalmology. This study aims to review the role of surgery in management as well as the specific indications for performing transcranial or extracranial osteotomies. It also highlights the excellent access achieved with the use of these osteotomies in certain cases, especially when compared with transconjunctival or transcutaneous approaches.
需要手术治疗的原发性小儿眼眶肿瘤并不常见，通常需要多学科管理。常用的眼眶手术入路包括经结膜、经皮肤（眼睑）、经颅或颅外截骨术。本文回顾了伯明翰儿童医院10年间需要经颅或颅外手术入路的病例经验。2008年至2017年间共确定了9例患者。病理类型包括横纹肌肉瘤、青少年骨化性纤维瘤、视神经胶质瘤和视网膜母细胞瘤。眼眶手术入路包括眶上缘截骨术（经颅）或外侧眶切开术（颅外）。手术团队成员包括神经外科、颅面外科和眼科。本研究旨在回顾手术在治疗中的作用以及进行经颅或颅外截骨术的具体适应证。它还强调了在某些情况下使用这些截骨术所实现的良好显露，特别是与经结膜或经皮肤入路相比时。
