Neurosurgical approach in orbital pathology -unicentric study.

UNLABELLED: Orbital pathology represents a unique entity because is located in a border region that requires neurosurgery, ophthalmology and oncology collaboration. The modern surgery includes the orbital surgery and skull base surgery.

MATERIAL AND

METHODS

This study presents neurosurgical approaches in 17 cases of orbital pathology in a period of 4 years in the Neurosurgery Department of Emergency Hospital "Prof. Dr. N. Oblu" laşi. In most cases our team performed a fronto-temporal and pterional approach with orbital roof resection and tumor abl ation. In our study there were 10 women (58.8%) and only 7 men (41.1%). 16 patients presented with exophthalmia, head each (8 patients), diplopia (3 patients), amblyopia (4 patients), ptosis (1 patients), rinoreea (1 patients) and nerveVIl paresis (2 patients).

RESULTS

Postoperative there were remissions of exophthalmia and the other symptoms and there were not registered any complications.

CONCLUSIONS

However the technique and cranial approach can be evaluated on case-by-case situation and depends on the location and extension of the lesion. The goals were patient safety, symptoms remission and tumor removal.