Maroon J C, Kennerdell J S
J Neurosurg. 1984 Jun;60(6):1226-35. doi: 10.3171/jns.1984.60.6.1226.
The authors review their experience with over 300 patients with orbital tumors, and summarize their surgical techniques and indications for each surgical approach. A fronto-orbital approach is described which is used for tumors with intracranial extension and for those located in the orbital apex and deep medial orbital compartment. Lateral micro- orbitotomy is used for tumors located in the superior, temporal, or inferior compartment of the orbit and those in the lateral apex. A medial microsurgical approach is used for tumors located medial to the optic nerve but not deep in the apex. By thus approaching tumors directly, optimal exposure is obtained and functional deficits are minimized. The pertinent surgical anatomy is illustrated and the technique of fine-needle aspiration biopsy is discussed.
作者回顾了他们对300多名眼眶肿瘤患者的治疗经验，并总结了他们的手术技术以及每种手术方法的适应证。描述了一种额眶入路，用于治疗有颅内扩展的肿瘤以及位于眶尖和眶内侧深部间隙的肿瘤。外侧微眶切开术用于治疗位于眼眶上、颞或下间隙以及外侧眶尖的肿瘤。内侧显微手术入路用于治疗位于视神经内侧但不在眶尖深部的肿瘤。通过直接这样接近肿瘤，可以获得最佳暴露并将功能缺陷降至最低。文中展示了相关的手术解剖结构，并讨论了细针穿刺活检技术。
