Image-guided transnasal endoscopic techniques in the management of orbital disease.

Abstract

PURPOSE:

To assess the utility of image-guided transnasal endoscopic surgery for a variety of orbital diseases requiring decompression of at least one orbital wall.

METHOD:

A descriptive case series of consecutive orbital procedures requiring decompression of at least one wall. All procedures were performed using a transnasal endoscopic approach and an intraoperative image-guided LandmarX system for anatomical guidance.

RESULTS:

A 3-year review yielded 17 cases, including 6 cases with compressive mucoceles, 4 neoplasms, 4 patients with proptosis secondary to Graves' Ophthalmopathy, 1 case of an intraorbital abscess, 1 fungal mycetoma, and 1 hemangioma. These cases all had improved postoperative clinical status without any serious complications. The LandmarX system was a valuable intraoperative tool in all 17 cases.

CONCLUSIONS:

The endoscopic transnasal approach to orbital decompression surgery allows for good visualization and is minimally invasive. Using this approach in conjunction with the LandmarX image-guided system allows for improved anatomical localization and provided good results in all cases.

• Authors: Jerrod S Kent, Larry H Allen, Brian W Rotenberg
• Journal: Orbit (Amsterdam, Netherlands) (Orbit) Vol. 29 Issue 6 Pg. 328-33 (Dec 2010) ISSN: 1744-5108 [Electronic] England
• PMID: 20807018 (Publication Type: Journal Article, Review)

Topics

• Adolescent
• Adult
• Aged
• Aged, 80 and over
• Decompression, Surgical (adverse effects, methods)
• Endoscopy (adverse effects, methods)
• Female
• Follow-Up Studies
• Humans
• Male
• Middle Aged
• Ontario
• Orbital Diseases (diagnostic imaging, pathology, surgery)
• Postoperative Complications (physiopathology)
• Retrospective Studies
• Risk Assessment
• Surgery, Computer-Assisted (adverse effects, methods)
• Tomography, X-Ray Computed (methods)
• Treatment Outcome