Superolateral Orbitotomy for Intraorbital Tumors: Comparison with the Conventional Approach

摘要

>Objectives This study aims to compare the surgical and functional outcomes of superolateral orbitotomy (group A) and conventional superior orbitotomy (group B) for benign orbital tumors. >Design A retrospective review of 31 consecutive orbital tumor surgeries with the fronto-orbital approach was conducted. >Setting Procedures were performed at two institutions by a single surgeon. >Participants A total of 31 orbital tumor patients participated in this study. Overall, 11 intraconal and 2 extraconal tumors in group A and 11 intraconal and 7 extraconal tumors in group B were resected by superolateral orbitotomy, respectively. >Main Outcome Measures Demographic information, pre- and postoperative neurological findings and neuroimaging data, and pathological data were collected. Surgical and functional outcomes were compared and statistically analyzed between the two different surgical procedures. >Results The surgical outcomes were not significantly different between the two groups. In patients with intraconal tumors, the functional outcome was significantly better in group A than in group B. >Conclusion Superolateral orbitotomy provides better functional outcomes.