Tai Jacqueline H C, Lai Kenneth K H, Kuk Andrew K T, Chan Edwin, Ko Callie K L
Department of Ophthalmology, Tung Wah Eastern Hospital, Causeway Bay, Hong Kong.
Orbit. 2023 Apr;42(2):181-184. doi: 10.1080/01676830.2022.2083185. Epub 2022 Jun 3.
To describe the modified vertical lid split (VLS) technique for anterior orbitotomy and report surgical outcomes in patients with intraconal lesion removal using this surgical technique.
Retrospective review of medical records and orbital images.
A total of four (female = 3) patients with intraconal orbital lesions underwent modified VLS orbitotomy from January 1, 2019 to June 30, 2021 in Hong Kong East Cluster. The average age was 49.3 years old (range: 35-65). Complete excision of intraconal orbital lesion was performed in all four cases. All cases were cavernous haemangioma histologically. All patients were satisfied with their cosmesis postoperatively and most had satisfactory postoperative extraocular movement.
Modified VLS approach is simple and provides good intraoperative surgical exposure for intraconal lesions, giving the additional advantage of better scar camouflage.
描述用于前路眶切开术的改良垂直睑裂切开（VLS）技术，并报告使用该手术技术切除眶内病变患者的手术结果。
回顾性分析病历和眼眶图像。
2019年1月1日至2021年6月30日，香港东区医院共有4例（女性3例）眶内病变患者接受了改良VLS眶切开术。平均年龄49.3岁（范围：35 - 65岁）。4例均完整切除眶内病变。组织学检查均为海绵状血管瘤。所有患者术后对美容效果满意，多数患者术后眼球运动满意。
改良VLS入路简单，为眶内病变提供了良好的术中手术暴露，还有更好的瘢痕掩饰这一额外优势。
