Endoscopic Transnasal Cryo-Assisted Removal of an Orbital Cavernous Hemangioma: A Technical Note

P. G. Campbell; S. Yadla; M. Rosen; J. R. Bilyk; A. P. Murchison; J. J. Evans

doi:10.1055/s-0030-1270465

min - Minimally Invasive Neurosurgery, Table of Contents

Minim Invasive Neurosurg 2011; 54(1): 41-43
DOI: 10.1055/s-0030-1270465

Technical Note

Endoscopic Transnasal Cryo-Assisted Removal of an Orbital Cavernous Hemangioma: A Technical Note

P. G. Campbell¹ , S. Yadla¹ , M. Rosen² , J. R. Bilyk³ , A. P. Murchison³ , J. J. Evans¹

¹Department of Neurosurgery, Thomas Jefferson University, Philadelphia, PA, USA
²Department of Otolaryngology, Thomas Jefferson University, Philadelphia, PA, USA
³Oculoplastic and Orbital Surgery, Wills Eye Institute, Philadelphia, PA, USA

Abstract

The cryoprobe device is commonly used by orbital surgeons for the extraction of intraorbital lesions. Cryoprobes provide a safe mechanism to manipulate fluid-filled tumors. Such lesions can present in locations in which intraoperative neurosurgical assistance is essential. The authors describe a technique whereby removal of an orbital hemangioma was facilitated by the aid of an endoscopic, transnasal cryoprobe while standard microsurgical dissection was performed concurrently via a transconjunctival approach.

Key words

cryosurgery - neoplasm - endoscopic surgery - cavernous hemangioma - transnasal surgery

Full Text

References

1 Herter T, Bennefeld H, Brandt M. Orbital cavernous hemangiomas. Neurosurg Rev. 1988; 11 143-147
2 Wilms G, Raat H, Dom R. et al . Orbital cavernous hemangioma: findings on sequential Gd-enhanced MRI. J Comp Ass Tomogr. 1995; 19 548-551
3 Stamm A, Nogueira JF. Orbital cavernous hemangioma: Transnasal endoscopic management. Otolaryngol Head Neck Surg. 2009; 141 794-795
4 Rosen N, Priel A, Simon GJ. et al . Cryo-assisted anterior approach for surgery of retroocular orbital tumours avoids the need for lateral or transcranial orbitotomy in most cases. Acta Ophthalmol. 2010; 88 675-680
5 Finger PT. “Fingertip” cryoprobe assisted orbital tumour extraction. Br J Ophthalmol. 2005; 89 777-778
6 Maroon JC, Onik G, Quigley MR. et al . Cryosurgery re-visited for the removal and destruction of brain, spinal and orbital tumours. Neurolog Res. 1992; 14 294-302
7 Tsirbas A, Kazim M, Close L. Endoscopic approach to orbital apex lesions. Ophthal Plast Reconstr Surg. 2005; 21 271-275
8 Murchison AP, Rosen MR, Evans JJ. et al . Posterior nasal septectomy in endoscopic orbital apex surgery. Ophthal Plast Reconstr Surg. 2009; 25 458-463
9 Putterman A, Goldberg MF. Retinal cryoprobe in orbital tumor management. Am J Ophthalmol. 1975; 80 88-92
10 Endo S, Nishijima M, Takaku A. Cryosurgical retraction in the removal of intracranial vascular tumors technical note. Neurologia Medico-Chirurgica. 1993; 33 44-45

Correspondence

P. G. CampbellMD

Department of Neurosurgery

909 Walnut St, 3rd Floor

19107 Philadelphia PA

USA

Phone: +1/215/503 7008

Email: peter.campbell@jeffersonhospital.org