TY - JOUR
T1 - Multimodal approaches in the management of malignancies involving the orbit
AU - Dunklebarger, Mitchell
AU - Patel, Vijay A.
AU - Shokri, Tom
AU - Goyal, Neerav
PY - 2018/12
Y1 - 2018/12
N2 - Malignancies involving the orbit comprise heterogeneous pathologies with a variety of ophthalmic and otolaryngic presentations resulting from compression and destruction of native orbital contents. Surgical ablation with negative margins with adjuvant treatment remains a cornerstone for optimal oncologic control and successful operative outcomes. Historically, attempts at tumor extirpation were first performed by neurosurgeons via open craniotomies to access orbital contents. While these approaches remain a mainstay within the superolateral compartment, endoscopic techniques pioneered by otolaryngologists have emerged as a standard in managing inferomedial orbital tumors. Approaches to these tumors remain a multidisciplinary endeavor involving neurosurgeons, ophthalmologists and/or oculoplastic surgeons, as well as otolaryngology – head and neck surgeons. This article will review and illustrate modern approaches to the orbit with special attention given to commonly employed expanded endoscopic and open techniques.
AB - Malignancies involving the orbit comprise heterogeneous pathologies with a variety of ophthalmic and otolaryngic presentations resulting from compression and destruction of native orbital contents. Surgical ablation with negative margins with adjuvant treatment remains a cornerstone for optimal oncologic control and successful operative outcomes. Historically, attempts at tumor extirpation were first performed by neurosurgeons via open craniotomies to access orbital contents. While these approaches remain a mainstay within the superolateral compartment, endoscopic techniques pioneered by otolaryngologists have emerged as a standard in managing inferomedial orbital tumors. Approaches to these tumors remain a multidisciplinary endeavor involving neurosurgeons, ophthalmologists and/or oculoplastic surgeons, as well as otolaryngology – head and neck surgeons. This article will review and illustrate modern approaches to the orbit with special attention given to commonly employed expanded endoscopic and open techniques.
UR - http://www.scopus.com/inward/record.url?scp=85055871087&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85055871087&partnerID=8YFLogxK
U2 - 10.1016/j.otot.2018.10.010
DO - 10.1016/j.otot.2018.10.010
M3 - Article
AN - SCOPUS:85055871087
SN - 1043-1810
VL - 29
SP - 232
EP - 242
JO - Operative Techniques in Otolaryngology - Head and Neck Surgery
JF - Operative Techniques in Otolaryngology - Head and Neck Surgery
IS - 4
ER -