Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
The orbit is the bony socket that contains and protects the eyeball and allows for the optic nerve to pass from the eye to the brain. The orbital region includes the surrounding bone and the muscles that control the eye, as well as nerves and blood vessels. Tumours may arise from any of these structures. Orbital tumours may arise from Schwann cells ie neurofibromas and schwannomas. Another common benign tumour in this area is the optic glioma, a tumour that arises from glial cells. Another tumour is the orbital meningioma, which comes from the meninges. These tumours may arise within the orbit, or may develop outside the orbit and grow to include it. Surgery to remove an orbital tumour is complex and the goals of the surgery are: To prevent a tumor from progressing. To preserve vision and preserve the eye. To alleviate the symptoms and restore the patient to good health. There are multiple surgical options for orbital tumours like extra cranial/orbital approach, intra cranial approach and endoscopic assisted surgery. We introduced a novel surgical technique with minimum complications and good outcome, Modified FTOZ craniotomy for intra‐orbital tumours. One year study was conducted at department of Neurosurgery, Gauhati medical college and hospital, involving 25 patients who underwent Modified FTOZ craniotomy for unilateral orbital tumour. Parameters analyzed were demographic details, clinical presentation and surgical outcome. In our study, majority of them were between 40‐60 age group followed by 20‐40 age group. Most common complaint in the patients were Proptosis of one eyeball followed by pain in the eye in 20 out of 25 patients. Majority of patients (17) were discharged on day 3 post operatively with mild edema and surgical site pain while 6 of them stayed with 4‐5 days due to post op pain and edema. Most commonly patients had post operative edema surrounding incision site and eye led edema (10) which was managed conservatively with medication. Modified FTOZ craniotomy is a novel and relatively less known and used surgical technique for orbital tumour. It can be better option compared to other surgical techniques with good results and minimum post operative complications.
How to cite this article:
Asman Ali and Tejas Anand Kamat. Modified Fronto‐Temporo‐Orbito‐Zygomatic Approach for Orbital Tumour: A Novel Technique and Outcome Analysis.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.10.579.586
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.10.579.586