SINGLE INSTITUTIONAL EXPERIENCE IN SURGICAL MANAGEMENT OF ORBITAL TUMOURSNEUROSURGICAL PERSPECTIVE IN SURGICAL APPROACH
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2017, Vol 4, Issue 54
Abstract
BACKGROUND Orbital tumours are rare and complex lesions, which require a multidisciplinary approach for diagnosis and management. They pose a great challenge for the neurosurgeons and ophthalmologists. MATERIALS AND METHODS This is a retrospective study with analysis of data for 15 patients who underwent surgery for orbital tumours at our institution. Data available from 2007 to 2016 was collected and analysis was done. Clinical presentation, age, sex, imaging features, approaches planned, surgical records, histopathological findings and follow up records were extracted for statistical analysis. RESULTS Most common presentation was exophthalmos (80%), visual disturbances (46.6%), diplopia (40%), retro-orbital or periorbital pain (20%). The most used surgical approach was FTOZ (33.3%) followed by lateral orbitotomy (20%). Histopathological findings showed that most of the orbital tumours were haemangiomatous tumours (33.3%) followed by neurofibromas (20%). Malignant tumours accounted for (33.3%). Total resection was achieved in 53.3% of cases. Recurrence was seen in 33.3% cases. CONCLUSION Orbital tumours need a multidisciplinary approach. Early diagnosis, better imaging modalities correlated with good surgical skills provides good functional outcome. Surgical approach should be planned according to the location and extension of the tumour. Histopathology remains the mainstay of diagnosing the tumour and prognostication of the disease.
Authors and Affiliations
Vinay Bhushanam T, Prahaladu P, Satya Varaprasad K, Raman B. V. S.
Keywords
Related Articles
- EP ID EP220418
- DOI 10.18410/jebmh/2017/651
- Views 103
- Downloads 0
A COMPARATIVE STUDY OF INTRATHECAL DEXMEDETOMIDINE AND FENTANYL AS ADJUVANTS TO BUPIVACAINE
BACKGROUND Uncontrolled postoperative pain may produce a range of detrimental acute and chronic effects. Spinal anaesthesia provided by Bupivacaine may be too short for providing postoperative analgesia. This study is co...
COMPARATIVE STUDY TO EVALUATE ANALGESIC EFFICACY OF CAUDAL MIDAZOLAM AND CLONIDINE POSTOPERATIVE ANALGESIA IN CHILDREN
BACKGROUND Caudal epidural analgesia is one of the most popular regional techniques used in paediatric patients undergoing lower limb, anoperineal and abdominal surgical procedures for postoperative pain relief. The aim...
STUDY ON HAEMATOLOGICAL PROFILE AMONG HIV POSITIVE PATIENTS
BACKGROUND HIV infection is rapidly spreading and has established itself throughout the world. Abnormalities in haematological profile including anaemia, thrombocytopenia, leucopenia and pancytopenia are common findings...
IS MINIMAL INCISION THYROID SURGERY A BETTER ALTERNATIVE TO CONVENTIONAL AND ENDOSCOPIC THYROID SURGERY FOR SOLITARY THYROID NODULE?
The conventional technique of thyroidectomy for solitary thyroid nodule requires long skin incision, not satisfying patient and surgeon in terms of cosmesis and endoscopic thyroid surgery requires expertise. In our study...
PRE-OPERATIVE HAIR REMOVAL WITH TRIMMERS AND RAZORS AND ITS IMPACT ON SURGICAL SITE INFECTIONS IN ELECTIVE INGUINAL HERNIA REPAIR
BACKGROUND Despite major advances in infection control interventions, health care-associated infections (HAI) remain a major public health problem and patient safety threat worldwide. The global data suggests that the SS...