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Document Type

Original Article

Abstract

Background: A variety of tumors and pseudotumors can occur in the orbital region, requiring distinct surgical approaches based on lesion characteristics.

Aim of the work: To evaluate the effectiveness of the lateral orbitotomy approach in the surgical management of extraconal orbital lesions.

Patients and Methods: A retrospective review of 14 patients who underwent lateral orbitotomy for extraconal orbital lesions at Al Azhar University Hospitals and Al Salam Specialized Hospital between July 2019 and July 2022. The main outcomes measured included postoperative complications and symptom resolution.

Results: A total of 14 patients were included (7 males, 7 females), with a mean age of 41.50±8.02 years. Proptosis was the most common symptom presented. All lesions were extraconal, with a diverse range of pathologies. Transient postoperative complications were observed in 71.4% of cases, including diplopia, chemosis, and postoperative hematoma, all of which improved during follow-up. No cases of significant visual impairment were reported.

Conclusion: The lateral orbitotomy approach demonstrated efficacy in managing extraconal orbital lesions with manageable postoperative complications and satisfying cosmetic results. Further research with larger sample sizes and multi-center collaboration is encouraged to confirm these findings.

Keywords

Lateral Orbitotomy; Extraconal; Periorbita; Complications

Subject Area

Neurosurgery

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