INTRODUCTION Inflammations and tumors of the orbit and para-orbital regions may present as proptosis. Management depends on clinical, radiological, histo-pathological and biochemical evaluation. OBJECTIVE To analyze the clinical and histopathological profile of the lesions causing proptosis and to report the outcome of their surgical management. MATERIALS AND METHODS In a retrospective stud...

AIM Lateral orbitotomy is a well-known approach for lesions of the lateral orbital cone. It is still appropriate for laterally situated tumors although contemporary cranial base approaches were defined and developed within the last decades. MATERIAL AND METHODS Here we report 10 orbital lesions operated with lateral orbitotomy, nine of which were extraconal. Cholesterol granuloma, arachnoid c...

Five patients were surgically treated for intraorbital foreign body: a 14-year-old girl had a door glass splinter, a 23-year-old man a metallic foreign body--gunshot pellet, a 55-year-old man a splinter from a metallic bar, a 48-year-old patient the splinters of circular saw and 61-year-old man with shot. Two foreign bodies were removed using the Krönlein-Reese-Berk lateral orbitotomy, two othe...

PURPOSE To describe surgical outcomes for transconjunctival anterior orbitotomy for intraconal cavernous hemangiomas. METHODS The medical records of 9 consecutive patients with intraconal cavernous hemangiomas who underwent surgical removal by transconjunctival anterior orbitotomy were retrospectively reviewed. The conjunctiva was incised and retracted with a traction suture. For large tumors...

The authors present an unorthodox surgical approach to reach the posterior segment of the lateral rectus muscle through a lateral orbitotomy and to manage difficult cases of recurrent exotropia. A review of the records of two patients with recurrent exotropia was done. After an anterior approach had been demonstrated to be inadequate due to shortening or fibrosis of the anterior part of this mu...