title: Superolateral Orbitotomy for Intraorbital Tumors: Comparison with the Conventional Approach.
abstract: ObjectivesThis study aims to compare the surgical and functional outcomes of superolateral orbitotomy (group A) and conventional superior orbitotomy (group B) for benign orbital tumors.DesignA retrospective review of 31 consecutive orbital tumor surgeries with the fronto-orbital approach was conducted.SettingProcedures were performed at two institutions by a single surgeon.ParticipantsA total of 31 orbital tumor patients participated in this study. Overall, 11 intraconal and 2 extraconal tumors in group A and 11 intraconal and 7 extraconal tumors in group B were resected by superolateral orbitotomy, respectively.Main Outcome MeasuresDemographic information, pre- and postoperative neurological findings and neuroimaging data, and pathological data were collected. Surgical and functional outcomes were compared and statistically analyzed between the two different surgical procedures.ResultsThe surgical outcomes were not significantly different between the two groups. In patients with intraconal tumors, the functional outcome was significantly better in group A than in group B.ConclusionSuperolateral orbitotomy provides better functional outcomes.
authors.affiliation: Division of Neurosurgery, Chiba Prefectural Sawara Hospital, Katori, Chiba, Japan.
authors.forename: Mine
authors.initials: M
authors.lastname: Seiichiro
authors.affiliation: Department of Neurological Surgery, Chiba University, Graduate School of Medicine, Chiba, Japan.
authors.forename: Higuchi
authors.initials: H
authors.lastname: Yoshinori
authors.affiliation: Department of Neurological Surgery, Chiba University, Graduate School of Medicine, Chiba, Japan.
authors.forename: Horiguchi
authors.initials: H
authors.lastname: Kentaro
authors.affiliation: Department of Neurological Surgery, Chiba University, Graduate School of Medicine, Chiba, Japan.
authors.forename: Saeki
authors.initials: S
authors.lastname: Naokatu
keywords: functional outcome; orbital tumor; superolateral orbitotomy