Innovative Orbital Periosteum Suturing Technique for Endoscopic Medial Orbital Wall Reconstruction

Abstract

Background

Advances in endoscopic orbital surgery have sparked discussion regarding reconstructive procedures for medial orbital wall defects following tumor removal. This study describes an innovative orbital periosteal suturing technique that addresses the functional and aesthetic concerns created by orbital surgery.

Objective

Comprehensive clinical evaluation of a novel orbital periosteal suturing technique for endoscopic medial orbital wall reconstruction.

Methods

A retrospective chart review identified five patients who underwent endoscopic transnasal resection and subsequent orbital periosteal suturing for reconstruction. The surgical approach involved a binostril transseptal technique to create a broad surgical corridor. The postoperative follow-up was 13.4 ± 1.8 months.

Results

In the five patients, the mean age was 47.6 ± 13.0 years and the lesions were predominantly distributed on the left side (60%). Reconstruction time with the orbital periosteal suture procedure averaged 47.2 ± 6.6 minutes, employing four to five stitches. No patients experienced short-term complications such as visual acuity defect, new or exacerbated diplopia, or cranial nerve palsy within 2 weeks, and no long-term complications such as enophthalmos or prolonged diplopia were observed.

Conclusion

Orbital periosteal suturing is an effective and resource-efficient technique for endoscopic reconstruction of the medial orbital wall. Surgeons may consider this method among the available options for orbital reconstruction, representing a novel advancement in the field.

Keywords

orbital periosteal suturing - endoscopic reconstruction - medial orbital wall reconstruction - orbital tumor resection - surgical technique - skull base surgery - orbital surgery

Authors' Contributions

The conceptualization of the study, data analysis, and writing of the original draft were handled by T.T. Video editing and narration were performed by S.H. Manuscript editing was carried out by K.O., Y.I., R.M., A.J.K., B.A.S., C.K.C., and N.O. Finally, the manuscript underwent a comprehensive review and editing by B.D.T.

Publication History

Received: 13 June 2024

Accepted: 03 September 2024

Accepted Manuscript online:
11 September 2024

Article published online:
05 October 2024

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