Journal article
The transcaruncular approach to the medial orbital wall
The Laryngoscope, Vol.112(6), pp.986-989
06/2002
DOI: 10.1097/00005537-200206000-00009
PMID: 12160296
Abstract
To demonstrate the safety and use of the transcaruncular approach as a surgical technique that provides rapid exposure of the medial orbital wall and apex through a small cosmetic conjunctival incision. The transcaruncular anterior orbitotomy incision is made through the conjunctiva, between the plica and caruncle, with dissection to a subperiorbital plane along the medial orbital wall. This technique was used in 49 patients (58 orbits) between July 1995 and December 2000. The patients' ages ranged from 5 to 89 years (mean, 50 y). The transcaruncular anterior orbitotomy approach provided appropriate surgical exposure in all cases of orbital decompression for thyroid-related orbitopathy (in 33 orbits [26 patients]); for biopsy of medial orbital or orbital apex masses in 12 patients; and for drainage of an orbital abscess or marsupialization of a mucocele in 7 orbits (6 patients). Five patients (6 orbits) underwent a transcaruncular approach for release of medial rectus entrapment after fracture. The single complication was 1 patient who required a revision procedure for treatment of medial fornix scarring with resolution of diplopia. The transcaruncular approach provides a safe, rapid, and cosmetically pleasing surgical approach to the medial orbital wall and orbital apex. This technique can be used for a variety of indications.
Details
- Title: Subtitle
- The transcaruncular approach to the medial orbital wall
- Creators
- Scott M Graham - Department of Otolaryngology-Head and Neck Surgery, University of Iowa Hospitals and Clinics, Iowa City 52242-1093, USA. scott-graham@uiowa.eduRobert D ThomasKeith D CarterJeffrey A Nerad
- Resource Type
- Journal article
- Publication Details
- The Laryngoscope, Vol.112(6), pp.986-989
- Publisher
- United States
- DOI
- 10.1097/00005537-200206000-00009
- PMID
- 12160296
- ISSN
- 0023-852X
- eISSN
- 1531-4995
- Language
- English
- Date published
- 06/2002
- Academic Unit
- Neurosurgery; Otolaryngology; Ophthalmology and Visual Sciences
- Record Identifier
- 9983979930502771
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