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https://hdl.handle.net/2440/81230
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dc.contributor.author | Wu, W. | - |
dc.contributor.author | Selva-Nayagam, D. | - |
dc.contributor.author | Jiang, F. | - |
dc.contributor.author | Jing, W. | - |
dc.contributor.author | Tu, Y. | - |
dc.contributor.author | Chen, B. | - |
dc.contributor.author | Shi, J. | - |
dc.contributor.author | Sun, M. | - |
dc.contributor.author | Qu, J. | - |
dc.date.issued | 2013 | - |
dc.identifier.citation | American Journal of Ophthalmology, 2013; 156(3):593-599 | - |
dc.identifier.issn | 0002-9394 | - |
dc.identifier.issn | 1879-1891 | - |
dc.identifier.uri | http://hdl.handle.net/2440/81230 | - |
dc.description.abstract | <h4>Purpose</h4>To determine the indications for the addition of a transcaruncular approach along with detachment of the medial rectus muscle during the removal of small apical cavernous hemangiomas using an endoscopic transethmoidal approach.<h4>Design</h4>Retrospective, noncomparative case series.<h4>Methods</h4>Multicenter study of 12 patients with apical orbital tumors removed using an endoscopic transethmoidal approach. The decision to detach the medial rectus muscle with the addition of a transcaruncular approach was made during surgery for tumors largely lateral to the medial rectus muscle. Tumors adjacent to the medial orbital wall were removed via an endoscopic transethmoidal approach alone.<h4>Results</h4>Seven tumors were removed via an endoscopic transethmoidal approach combined with medial rectus muscle detachment, whereas 5 patients underwent removal without detachment of the medial rectus. All patients had visual impairment. Complete excision of the hemangiomas was achieved in all patients and tumor size ranged from 6 × 5 mm to 20 × 12 mm. The mean postoperative follow-up time was 11.8 ± 4.3 months. At final follow-up, the best-corrected visual acuity improved in 11 patients. Three patients had transient horizontal diplopia resulting from partial paralysis of the medial rectus muscle after detachment during surgery.<h4>Conclusions</h4>The endoscopic transethmoidal approach with or without medial rectus detachment is a promising approach for selected small cavernous hemangiomas located at the deep medial orbital apex. Detachment of the medial rectus muscle can be a useful technique for tumors located largely lateral to the medial rectus muscle. Further studies will be required to demonstrate the safety and efficacy of this technique. | - |
dc.description.statementofresponsibility | Wencan Wu, Dinesh Selva, Fangzheng Jiang, Wentao Jing, Yunhai Tu, Ben Chen, Jieliang Shi, Michelle T. Sun, and Jia Qu | - |
dc.language.iso | en | - |
dc.publisher | Elsevier Science Inc | - |
dc.rights | © 2013 by Elsevier Inc. All rights reserved. | - |
dc.source.uri | http://dx.doi.org/10.1016/j.ajo.2013.05.001 | - |
dc.subject | Oculomotor Muscles | - |
dc.subject | Ethmoid Sinus | - |
dc.subject | Humans | - |
dc.subject | Hemangioma, Cavernous | - |
dc.subject | Orbital Neoplasms | - |
dc.subject | Tomography, X-Ray Computed | - |
dc.subject | Endoscopy | - |
dc.subject | Treatment Outcome | - |
dc.subject | Ophthalmologic Surgical Procedures | - |
dc.subject | Retrospective Studies | - |
dc.subject | Visual Acuity | - |
dc.subject | Adult | - |
dc.subject | Middle Aged | - |
dc.subject | Female | - |
dc.subject | Male | - |
dc.subject | Young Adult | - |
dc.title | Endoscopic transethmoidal approach with or without medial rectus detachment for orbital apical cavernous hemangiomas | - |
dc.type | Journal article | - |
dc.identifier.doi | 10.1016/j.ajo.2013.05.001 | - |
pubs.publication-status | Published | - |
dc.identifier.orcid | Selva-Nayagam, D. [0000-0002-2169-5417] | - |
Appears in Collections: | Aurora harvest 4 Opthalmology & Visual Sciences publications |
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