Publications on Orbital Tumors

Superior eyelid transorbital approaches: a modular classification system

Cover Article
Superior eyelid transorbital approaches: a modular classification system

The aim of this paper is to introduce a modular system for classifying the extensions to the superior eyelid transorbital approach. This classification system categorizes these extensions into two distinct groups: standard and extended. The extensions to the approach are further divided into those that widen the proximal corridor, which permits increased maneuverability, and those that widen the distal corridor, which provides access to various deep anatomical compartments. These two extension categories work in tandem and are modular, so they can be combined in a variety of different ways depending on the desired target. The proximal extensions consist of either the lateral orbitotomy (LO) or the superolateral orbitotomy (SLO), while the deep extensions include anterior clinoidectomy, flattening of the anterior middle fossa floor, and anterior petrosectomy. This classification allows surgeons to tailor their approach based on anatomical modules that can serve as an effective tool for surgical planning, tailored to the clinical needs of each individual case. Read the abstract

Other Selected Journal Articles
Dziedzic TA, Anand VK, Schwartz TH. Endoscopic endonasal approach to the lateral orbital apex: case report. J Neurosurg Pediatr. 2015 Sep;16(3):305-8. doi: 10.3171/2015.2.PEDS1575. Epub 2015 May 22. PMID: 26053671.

Attia M, Patel KS, Kandasamy J, Stieg PE, Spinelli HM, Riina HA, Anand VK, Schwartz TH. Combined cranionasal surgery for spheno-orbital meningiomas invading the paranasal sinuses, pterygopalatine, and infratemporal fossa. World Neurosurg. 2013 Dec;80(6):e367-73. doi: 10.1016/j.wneu.2012.10.016. Epub 2012 Oct 13. PMID: 23072879.

Roth J, Fraser JF, Singh A, Bernardo A, Anand VK, Schwartz TH. Surgical approaches to the orbital apex: comparison of endoscopic endonasal and transcranial approaches using a novel 3D endoscope. Orbit. 2011 Jan;30(1):43-8. doi: 10.3109/01676830.2010.543004. PMID: 21281081.

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