Transnasal Endoscopic Removal of an Orbital Cavernoma
The approach to posterior and medial orbital tumors is still a challenge, since poor functional results are frequent. We report a case of cavernoma successfully removed by a modified transnasal endoscopic procedure. The patient, a 56-year-old woman, complained of a decrease in vision of the left eye...
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| Veröffentlicht in: | Annals of otology, rhinology & laryngology rhinology & laryngology, 1999-02, Vol.108 (2), p.147-150 |
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| container_title | Annals of otology, rhinology & laryngology |
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| creator | Lot, Guillaume Portier, Frédéric Herman, Philippe Silhouette, Bénédicte Wassef, Michel Marianowski, Rémi Huy, Patrice Tran Ba |
| description | The approach to posterior and medial orbital tumors is still a challenge, since poor functional results are frequent. We report a case of cavernoma successfully removed by a modified transnasal endoscopic procedure. The patient, a 56-year-old woman, complained of a decrease in vision of the left eye. Magnetic resonance imaging evidenced a lesion in the posterior part of the orbital cavity, inferior to the optic nerve, extending to the sphenoidal cleft. The lesion was isodense on T1-weighted images and showed contrast enhancement. Because of the medial location of the tumor, the patient was referred to the otolaryngology department by the neurosurgeons, and a transnasal endoscopic approach was chosen. A large exposure of the operative field was obtained, and a cavernoma was removed. Rapid relief of the symptoms was obtained. In view of this good result, we advocate the transnasal endoscopic approach in cases of inferomedial and posterior intraconal lesions as an alternative and addition to the standard techniques of orbital surgery. |
| doi_str_mv | 10.1177/000348949910800208 |
| format | Article |
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We report a case of cavernoma successfully removed by a modified transnasal endoscopic procedure. The patient, a 56-year-old woman, complained of a decrease in vision of the left eye. Magnetic resonance imaging evidenced a lesion in the posterior part of the orbital cavity, inferior to the optic nerve, extending to the sphenoidal cleft. The lesion was isodense on T1-weighted images and showed contrast enhancement. Because of the medial location of the tumor, the patient was referred to the otolaryngology department by the neurosurgeons, and a transnasal endoscopic approach was chosen. A large exposure of the operative field was obtained, and a cavernoma was removed. Rapid relief of the symptoms was obtained. In view of this good result, we advocate the transnasal endoscopic approach in cases of inferomedial and posterior intraconal lesions as an alternative and addition to the standard techniques of orbital surgery.</description><identifier>ISSN: 0003-4894</identifier><identifier>EISSN: 1943-572X</identifier><identifier>DOI: 10.1177/000348949910800208</identifier><identifier>PMID: 10030232</identifier><identifier>CODEN: AORHA2</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Biological and medical sciences ; Endoscopy - methods ; Female ; Hemangioma, Cavernous - diagnosis ; Hemangioma, Cavernous - surgery ; Humans ; Magnetic Resonance Imaging ; Medical sciences ; Middle Aged ; Orbital Neoplasms - diagnosis ; Orbital Neoplasms - surgery ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the eye and orbit</subject><ispartof>Annals of otology, rhinology & laryngology, 1999-02, Vol.108 (2), p.147-150</ispartof><rights>1999 SAGE Publications</rights><rights>1999 INIST-CNRS</rights><rights>Copyright Annals Publishing Company Feb 1999</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c461t-6fc6cced12fce52e4b248f41288a0588ae5e5b72c658d62b251eccc2dfbb4f953</citedby><cites>FETCH-LOGICAL-c461t-6fc6cced12fce52e4b248f41288a0588ae5e5b72c658d62b251eccc2dfbb4f953</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/000348949910800208$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/000348949910800208$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>309,310,314,777,781,786,787,21800,23911,23912,25121,27905,27906,43602,43603</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1689593$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10030232$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lot, Guillaume</creatorcontrib><creatorcontrib>Portier, Frédéric</creatorcontrib><creatorcontrib>Herman, Philippe</creatorcontrib><creatorcontrib>Silhouette, Bénédicte</creatorcontrib><creatorcontrib>Wassef, Michel</creatorcontrib><creatorcontrib>Marianowski, Rémi</creatorcontrib><creatorcontrib>Huy, Patrice Tran Ba</creatorcontrib><title>Transnasal Endoscopic Removal of an Orbital Cavernoma</title><title>Annals of otology, rhinology & laryngology</title><addtitle>Ann Otol Rhinol Laryngol</addtitle><description>The approach to posterior and medial orbital tumors is still a challenge, since poor functional results are frequent. We report a case of cavernoma successfully removed by a modified transnasal endoscopic procedure. The patient, a 56-year-old woman, complained of a decrease in vision of the left eye. Magnetic resonance imaging evidenced a lesion in the posterior part of the orbital cavity, inferior to the optic nerve, extending to the sphenoidal cleft. The lesion was isodense on T1-weighted images and showed contrast enhancement. Because of the medial location of the tumor, the patient was referred to the otolaryngology department by the neurosurgeons, and a transnasal endoscopic approach was chosen. A large exposure of the operative field was obtained, and a cavernoma was removed. Rapid relief of the symptoms was obtained. In view of this good result, we advocate the transnasal endoscopic approach in cases of inferomedial and posterior intraconal lesions as an alternative and addition to the standard techniques of orbital surgery.</description><subject>Biological and medical sciences</subject><subject>Endoscopy - methods</subject><subject>Female</subject><subject>Hemangioma, Cavernous - diagnosis</subject><subject>Hemangioma, Cavernous - surgery</subject><subject>Humans</subject><subject>Magnetic Resonance Imaging</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Orbital Neoplasms - diagnosis</subject><subject>Orbital Neoplasms - surgery</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. 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Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the eye and orbit</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lot, Guillaume</creatorcontrib><creatorcontrib>Portier, Frédéric</creatorcontrib><creatorcontrib>Herman, Philippe</creatorcontrib><creatorcontrib>Silhouette, Bénédicte</creatorcontrib><creatorcontrib>Wassef, Michel</creatorcontrib><creatorcontrib>Marianowski, Rémi</creatorcontrib><creatorcontrib>Huy, Patrice Tran Ba</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>SIRS Editorial</collection><collection>MEDLINE - Academic</collection><collection>ComDisDome</collection><jtitle>Annals of otology, rhinology & laryngology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lot, Guillaume</au><au>Portier, Frédéric</au><au>Herman, Philippe</au><au>Silhouette, Bénédicte</au><au>Wassef, Michel</au><au>Marianowski, Rémi</au><au>Huy, Patrice Tran Ba</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Transnasal Endoscopic Removal of an Orbital Cavernoma</atitle><jtitle>Annals of otology, rhinology & laryngology</jtitle><addtitle>Ann Otol Rhinol Laryngol</addtitle><date>1999-02-01</date><risdate>1999</risdate><volume>108</volume><issue>2</issue><spage>147</spage><epage>150</epage><pages>147-150</pages><issn>0003-4894</issn><eissn>1943-572X</eissn><coden>AORHA2</coden><abstract>The approach to posterior and medial orbital tumors is still a challenge, since poor functional results are frequent. We report a case of cavernoma successfully removed by a modified transnasal endoscopic procedure. The patient, a 56-year-old woman, complained of a decrease in vision of the left eye. Magnetic resonance imaging evidenced a lesion in the posterior part of the orbital cavity, inferior to the optic nerve, extending to the sphenoidal cleft. The lesion was isodense on T1-weighted images and showed contrast enhancement. Because of the medial location of the tumor, the patient was referred to the otolaryngology department by the neurosurgeons, and a transnasal endoscopic approach was chosen. A large exposure of the operative field was obtained, and a cavernoma was removed. Rapid relief of the symptoms was obtained. In view of this good result, we advocate the transnasal endoscopic approach in cases of inferomedial and posterior intraconal lesions as an alternative and addition to the standard techniques of orbital surgery.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>10030232</pmid><doi>10.1177/000348949910800208</doi><tpages>4</tpages></addata></record> |
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| identifier | ISSN: 0003-4894 |
| ispartof | Annals of otology, rhinology & laryngology, 1999-02, Vol.108 (2), p.147-150 |
| issn | 0003-4894 1943-572X |
| language | eng |
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| source | MEDLINE; SAGE Complete A-Z List |
| subjects | Biological and medical sciences Endoscopy - methods Female Hemangioma, Cavernous - diagnosis Hemangioma, Cavernous - surgery Humans Magnetic Resonance Imaging Medical sciences Middle Aged Orbital Neoplasms - diagnosis Orbital Neoplasms - surgery Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the eye and orbit |
| title | Transnasal Endoscopic Removal of an Orbital Cavernoma |
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