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Freitag, Suzanne K. et al.: 2020 Ophthalmic Plastic Surgery DOI: 10.1055/b-0039-173365
Part VIII Orbit Surgery

38 Lateral Orbitotomy

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Editors: Freitag, Suzanne K.; Lee, N. Grace; Lefebvre, Daniel R.; Yoon, Michael K.

Authors: Aakalu, Vinay K.; Armstrong, Blair K.; Barmettler, Anne; Barsegian, Arpine; Bergman, Mica Y; Bi, Wenya Linda; Bleier, Benjamin S.; Bonafede, Lucas; Callahan, Alison; Campbell, Ashley A.; Chambers, Christopher B.; Charlson, Emily; Chang, Shu-Hong (Holly); Choe, Christina H.; Choi, Catherine J.; Cohen, Liza M.; Dajani, Omar; DeParis, Sarah W.; Dunbar, Kristen E.; Dunn, Ian F.; Eftekhari, Kian; Elliott, Alexandra T.; Fu, Roxana; Giacometti, Joseph; Glass, Lora R. Dagi; Godfrey, Kyle J.; Gonzalez, Mithra O.; Grob, Seanna; Habib, Larissa H.; Homer, Natalie; Jalaj, Sanjai; Jiménez-Pérez, Juan C.; Lee, Bradford W.; Lelli, Gary J.; Liao, Shu Lang; Liu, Catherine Y.; Liu, Honglei; MacIntosh, Peter W.; Mahoney, Nicholas; Mantagos, Jason S.; Mehta, Sonul; Migliori, Michael E.; Mueller, Sarina K.; Nguyen, Tieu Vy; Oatts, Julius T.; Olvera-Morales, Osiris; Pham, Chau; Rok, Do Eon; Servat, Javier; Setabutr, Pete; Shah, Neil; Shinder, Roman; Siegal, Nora K.; Simmons, Brittany A.; Starks, Victoria; Tao, Jeremiah P.; Teo, Livia; Tovilla-Canales, José Luis; Tran, Ann Q.; Tseng, Michael; Weber, Adam; Winn, Bryan J.; Wladis, Edward J.; Wolkow, Natalie; Yadav, Prashant; Yen, Michael T.; Yuen, Hunter; Zhan, Senmiao; Zhang-Nunes, Sandy

Title: Ophthalmic Plastic Surgery

Subtitle: Tricks of the Trade

Print ISBN: 9781626238978; Online ISBN: 9781626238985; Book DOI: 10.1055/b-006-163725

2020 © 2020 Georg Thieme Verlag KG
Georg Thieme Verlag, Stuttgart

Subjects: Ophthalmology, Optometry;Plastic, Reconstructive and Cosmetic Surgery

Thieme Clinical Collections (English Language)



 
Edward J. Wladis

Abstract

While lateral orbitotomy requires more instrumentation than more anterior approaches and is more technically challenging, it affords excellent visualization of the deep lateral aspects of the orbit and facilitates excision of otherwise inaccessible lesions and is thus indicated in the management of deeper orbital masses. Comprehension of the technical aspects of the procedure and meticulous tissue handling allow for more precise interventions, and awareness of the potential complications of a lateral orbitotomy enables clinicians to avoid pitfalls. Additionally, close postoperative follow-up leads to early recognition and management of these problems. This chapter discusses the indications and contraindications of lateral orbitotomy, reviews the pre- and intraoperative steps necessary to achieve successful surgery, and considers possible complications and their appropriate treatments.

Key words

lateral orbitotomy - orbitotomy - orbital tumor - piezoelectric - orbital hemorrhage