Skip to main content Accessibility help
×
Hostname: page-component-76fb5796d-zzh7m Total loading time: 0 Render date: 2024-04-27T14:03:20.584Z Has data issue: false hasContentIssue false

Chapter 9 - Combined Orbitofrontal Craniotomy and Direct Orbital Decompression

from Section II - Open Combined Approaches

Published online by Cambridge University Press:  05 October 2021

Get access

Summary

Orbitofrontal craniotomy with direct orbitotomy gives broad surgical access to the anterior cranial fossa and orbit. Indications for this combined technique vary and are dependent on the location and nature of the lesion. This technique can also be used for orbital decompression in severe cases of Graves’ orbitopathy. A complete clinical history with imaging is critical for preoperative planning. Postoperatively, close monitoring of vision and neurological status is critical to identifying and preventing complications.

Type
Chapter
Information
Integrated Management of Complex Intracranial Lesions
Open, Endoscopic, and Keyhole Techniques
, pp. 95 - 103
Publisher: Cambridge University Press
Print publication year: 2021

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Jane, JA, Park, TS, Pobereskin, LH, Winn, HR, Butler, AB. The supraorbital approach: technical note. Neurosurgery. 1982;11(4):537–42.CrossRefGoogle ScholarPubMed
Delashaw, JB, Jane, JA, Kassell, NF, Luce, C. Supraorbital craniotomy by fracture of the anterior orbital roof. J Neurosurg. 1993;79(4):615–18.CrossRefGoogle ScholarPubMed
Shanno, G, Maus, M, Bilyk, J, et al. Image-guided transorbital roof craniotomy via a suprabrow approach: a surgical series of 72 patients. Neurosurgery. 2001;48(3):559–68.Google Scholar
Paluzzi, A, Gardner, PA, Fernandez-Miranda, JC, et al. Round-the-clock surgical access to the orbit. J Neurol Surgery, Part B: Skull Base. 2015;76(1):1224.Google Scholar
Wang, Y, Tooley, AA, Mehta, VJ, Garrity, JA, Harrison, AR, Thyroid Orbitopathy, Mettu P.. Int Ophthalmol Clin. 2018;58(2):137–79.CrossRefGoogle Scholar
Srinivasan, A, Bilyk, JR. Transcranial approaches to the orbit. Int Ophthalmol Clin. 2018;58(2):101–10.CrossRefGoogle ScholarPubMed
Bejjani, GK, Cockerham, KP, Kennerdel, JS, Maroon, JC. A reappraisal of surgery for orbital tumors. Part I: extraorbital approaches. Neurosurg Focus. 2001;10(5):16.CrossRefGoogle ScholarPubMed
Abuzayed, B, Kucukyuruk, B, Tanriover, N, et al. Transcranial superior orbitotomy for the treatment of intraorbital intraconal tumors: surgical technique and long-term results in single institute. Neurosurg Rev. 2012;35(4):573–82.Google Scholar
Bradley, EA, Bartley, GB, Garrity, JA. Surgical management of Graves’ ophthalmopathy. In Bahn, RS, ed. Thyroid Eye Disease. Boston: Springer; 2001: 219–33.Google Scholar
Naffziger, HC. The surgical treatment of progressive exophthalmos following thyroidectomy. J Am Med Assoc. 1932;99(8):638.CrossRefGoogle Scholar
Stranc, M, West, M. A four-wall orbital decompression for dysthyroid orbitopathy. J Neurosurg. 1988;68(5):671–7.CrossRefGoogle ScholarPubMed
Linnet, J, Hegedus, L, Bjerre, P. Results of a neurosurgical two-wall orbital decompression in the treatment of severe thyroid associated ophthalmopathy. Acta Ophthalmol Scand. 2001;79(1):4952.CrossRefGoogle ScholarPubMed
Garrity, JA, Fatourechi, V, Bergstralh, EJ, et al. Results of transantral orbital decompression in 428 patients with severe Graves’ ophthalmopathy. Am J Ophthalmol. 1993;116(5):533–47.CrossRefGoogle ScholarPubMed
Fatourechi, V, Bartley, GB, Garrity, JA, Bergstralh, EJ, Ebersold, MJ, Gorman, CA. Transfrontal orbital decompression after failure of transantral decompression in optic neuropathy of Graves’ disease. Mayo Clin Proc. 1993;68(6):552–5.CrossRefGoogle ScholarPubMed
Maroon, JC, Kennerdell, JS. Surgical approaches to the orbit: indications and techniques. J Neurosurg. 1984;60(6):1226–35.CrossRefGoogle Scholar
Cockerham, KP, Bejjani, GK, Kennerdell, JS, Maroon, JC. Surgery for orbital tumors. Part II: transorbital approaches. Neurosurg Focus. 2001;10(5):E3.CrossRefGoogle ScholarPubMed
Ditzel Filho, LFS, McLaughlin, N, Bresson, D, Solari, D, Kassam, AB, Kelly, DF. Supraorbital eyebrow craniotomy for removal of intraaxial frontal brain tumors: a technical note. World Neurosurg. 2014;81(2):348–56.CrossRefGoogle ScholarPubMed
Owusu Boahene, KD, Lim, M, Chu, E, Quinones-Hinojosa, A. Transpalpebral orbitofrontal craniotomy: a minimally invasive approach to anterior cranial vault lesions. Skull Base. 2010;20(4):237–44.Google Scholar
Jordan, DR, Mawn, LA, Anderson, RL. Surgical Anatomy of the Ocular Adnexa, 2nd ed. Oxford: Oxford University Press; 2012.CrossRefGoogle Scholar
Greenfield, L, Mulholland, M, Doherty, G, eds. Greenfield’s Surgery: Scientific Principles and Practice. 4th ed. New York: Lippincott Williams & Wilkins; 2005.Google Scholar
Rolston, JD, Han, SJ, Lau, CY, Berger, MS, Parsa, AT. Frequency and predictors of complications in neurological surgery: national trends from 2006 to 2011. J Neurosurg. 2014;120(3):736–45.Google Scholar
Ling, JD, Mehta, V, Fathy, C, et al. Racial disparities in corneal transplantation rates, complications, and outcomes. Semin Ophthalmol. 2016;31(4):337–44.Google Scholar
Sosa, JA, Mehta, PJ, Wang, TS, Yeo, HL, Roman, SA. Racial disparities in clinical and economic outcomes from thyroidectomy. Ann Surg. 2007;246(6):1083–91.Google Scholar
Latz, B, Mordhorst, C, Kerz, T, et al. Post-operative nausea and vomiting in patients after craniotomy: incidence and risk factors. J Neurosurg. 2011;114(2):491–6.Google Scholar
Gan, TJ, Meyer, T, Apfel, CC, et al. Consensus guidelines for managing post-operative nausea and vomiting. Anesth Analg. 2003;97(1):6271.Google Scholar

Save book to Kindle

To save this book to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×