Background: Many approaches were recommended for surgical treatment of orbital lesions either via transorbital or transcranial routes. The frontolateral craniotomy through eyebrow skin incision (The lateral supraorbital approach) is a combined cranio-orbital approach that could be used in different orbital lesions. Objectives: To evaluate the efficacy and safety of the lateral supraorbital approach for resection of orbital lesions. Patients and methods: Ten patients with different orbital lesions were treated by this minimally invasive technique. The technique is described in details. The postoperative outcome was evaluated with casting light on the specific parameters related to this approach. Results: This study included six females and four males, the age ranged from two years to sixty five years with mean age of 37.3 years. Proptosis was the most common presenting complaint. Six patients were operated via the right supraorbital approach, and four patients via the left supraorbital approach. Various pathological lesions were treated. The excision was total in seven patients, subtotal in one patient, and partial in two patients. Two patients suffered transient supraorbital hypothesia , one patient showed temporary superficial wound infection with CSF leak and one patient died within six months. Conclusion: The lateral supraorbital approach is a minimally invasive approach that provides excellent exposure of the superior, lateral and medial orbit as well as the orbital apex. |
