Department of Pediatric Neurosurgery, National Institute of Children's Diseases, Limbová 1, 833 40 Bratislava, Slovakia.
Faculty of Medicine, Slovak Medical University, Limbová 12, 833 03 Bratislava, Slovakia.
Medicina (Kaunas). 2024 Aug 6;60(8):1267. doi: 10.3390/medicina60081267.
: This report aims to present the case of a pediatric patient with a recurrent tumor in the superolateral orbit. : An 8-year-old patient was initially treated for a tumor in the superolateral orbit via a transconjunctival approach. The histopathological diagnosis was epidermoid cyst. Postoperatively, chronic inflammation and fistula developed in the lateral canthus area. Magnetic resonance imaging revealed a residual tumor posterior to the original tumor location. The patient was treated via a modified orbitozygomatic (mOZ) craniotomy approach that was originally applied in neurosurgery, and complete tumor removal was achieved. A temporary paralysis of the frontotemporal branch of the facial nerve was observed and fully resolved within one month following surgery. At the 18th month of follow-up, the visual, neurological, and cosmetic results were found to be satisfactory. : mOZ craniotomy can be used to access and operate on recurrent orbital tumors in pediatric patients where other more aggressive surgical approaches should be avoided.
: 本报告旨在介绍一例发生于眼眶外上方的复发性肿瘤的儿科患者病例。 : 一名 8 岁患者曾因眼眶外上方肿瘤接受经结膜入路治疗。组织病理学诊断为表皮样囊肿。术后，外眦区出现慢性炎症和瘘管。磁共振成像显示，原肿瘤位置后方仍有残余肿瘤。患者接受了改良眶颧（mOZ）开颅术治疗，该手术最初应用于神经外科，实现了肿瘤的完全切除。术后观察到面神经额颞支暂时瘫痪，一个月内完全恢复。随访 18 个月时，患者的视力、神经和美容效果均令人满意。 : mOZ 开颅术可用于儿科患者复发性眼眶肿瘤的手术，对于应避免采用更具侵袭性的手术方法的病例，该术式尤为适用。
