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Surgical outcome of orbital cavernous hemangioma: a case series

Authors Golden N, Mahadewa TGB, Ryalino C

Received 3 September 2018

Accepted for publication 16 November 2018

Published 18 December 2018 Volume 2019:12 Pages 1—5

DOI https://doi.org/10.2147/OAS.S186268

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Andrew Yee

Peer reviewer comments 2

Editor who approved publication: Professor Luigi Bonavina


Nyoman Golden,1 Tjokorda Gde Bagus Mahadewa,1 Christopher Ryalino2
 
1Department of Neurosurgery, School of Medicine, Udayana University/Sanglah General Hospital, Bali, Indonesia; 2Department of Anesthesiology, School of Medicine, Udayana University/Sanglah General Hospital, Bali, Indonesia
 
Abstract: The surgical outcome of orbital cavernous hemangiomas has been reported either by ophthalmologists, who preferred anterior approach, or by neurosurgeons, who favored transcranial approach. In this series, we reported the surgical outcome of ten patients with orbital cavernous hemangioma. The clinical findings varied from obvious axial proptosis in all patients (100%), visual impairment (60%), limited ocular movement (50%), and orbital pain (60%). The surgical outcomes were determined at their last follow-up and examination, where 80% of the cases had a good outcome, one patient had permanent visual damage and partial ptosis (poor), and another patient had an unchanged visual function (fair). Transcranial approach is still an appropriate surgical approach for most orbital cavernous hemangioma with good and acceptable surgical outcomes. Generally, lateral orbitotomy is indicated for a lesion located at the lateral compartment of the orbit that does not affect orbital apex.

Keywords: transcranial approach, orbitotomy, ptosis, permanent visual damage

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