Abstract

A relatively rare condition, cavernous hemangioma of the orbit poses a problem due to difficulty of the surgical approach. Modifications in surgical approaches and better understanding of these tumors preoperatively allow for less disfiguring elective surgery than before. Five cases of orbital cavernous hemangiomas reviewed in our department between 2005 and 2009 underwent surgery by external lateral approach with removal of the lateral orbital wall. Resection of the tumor was complete in all cases, with one case of capsular rupture. Short- and long-term morphologic and aesthetic results were satisfactory in all patients. The external lateral approach with removal of the lateral orbital wall is a safe technique that allows good exposure of the tumor, facilitating its removal.

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