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Chapter 9 - Combined Orbitofrontal Craniotomy and Direct Orbital Decompression

from Section II - Open Combined Approaches

Published online by Cambridge University Press:  05 October 2021

By
Viraj J. Mehta ,
Gonzalez Lain Hermes Quarante ,
James A. Garrity  and
Pradeep Mettu
Edited by
Vijay Agarwal
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Summary

Orbitofrontal craniotomy with direct orbitotomy gives broad surgical access to the anterior cranial fossa and orbit. Indications for this combined technique vary and are dependent on the location and nature of the lesion. This technique can also be used for orbital decompression in severe cases of Graves’ orbitopathy. A complete clinical history with imaging is critical for preoperative planning. Postoperatively, close monitoring of vision and neurological status is critical to identifying and preventing complications.

Keywords

orbital surgeryneurosurgerycraniotomyorbital decompressionGraves’ orbitopathythyroidorbital tumoranterior cranial fossafrontal boneorbital roof
Type
Chapter
Information
Integrated Management of Complex Intracranial Lesions
Open, Endoscopic, and Keyhole Techniques
 , pp. 95 - 103
Publisher: Cambridge University Press
Print publication year: 2021

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