Abstract
Orbital approaches for targeting intracranial, orbital, and infratemporal disease have evolved over the years in an effort to discover safe, reliable, effective, and cosmetically satisfying surgical corridors. The surgical goals of these approaches balance important factors such as proximity of the lesion to the optic nerve, the degree of anticipated manipulation and required space for surgical maneuverability, and the type of disease. The authors provide a comprehensive review of the most commonly used periorbital approaches in the management of intra- and extracranial disease, with emphasis on the advantages and limitations of each approach.
Highlights
Orbitocranial surgical approaches involve collaboration between neurosurgeons and oculoplastic surgeons, each bringing a distinct, but partially overlapping, knowledge base to the treatment of disease
Exposure of the orbit is often performed during cranio-orbital approaches such as the orbitozygomatic or fronto-orbital craniotomy, where unroofing of the orbit can optimize the surgical view to the parasellar region
The difficulty in orbital approaches stems from the dense arrangement of eloquent neurovascular structures that funnel into the orbital apex and optic canal
Summary
Orbital approaches for targeting intracranial, orbital, and infratemporal disease have evolved over the years in an effort to discover safe, reliable, effective, and cosmetically satisfying surgical corridors. The surgical goals of these approaches balance important factors such as proximity of the lesion to the optic nerve, the degree of anticipated manipulation and required space for surgical maneuverability, and the type of disease. The authors provide a comprehensive review of the most commonly used periorbital approaches in the management of intra- and extracranial disease, with emphasis on the advantages and limitations of each approach
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