Orbital diseases and their surgical treatments

Introduction:

The orbital cavity is an anatomically complex region. Orbital diseases may occur of different and diverse origin. The most common clinical presentations include decreased vision, protrusio bulbi, diplopia and disorders of the eye movement. The majority are benign tumors. Only one third are malignant.

Methods:

We retrospectively analyzed symptoms, surgery techniques, imaging results and histopathological findings of patients who were surgically treated for orbital tumors at the ENT Hospital of the University of Magdeburg in between January 2014 and September 2018.

Results:

50 patients were surgically treated for orbital tumors in the period of time. 29 of the patients were men and 21 were women. The patients were in between 2 and 85 years of age. Of the diagnoses, 16% were lymphomas, 6% pseudotumors, 12% endocrine orbitopathy, 8% traumas, 26% infectious and 6% others. 10% of patients had secondary tumors of the orbita. The median age of surgery patients was 57 years. 33,3% of patients received preoperative CT, 31,5% MR, 25,9% both CT and MR, 1.9% x-rays and 1,9% sonography. 27,6% of men and 38,1% of women had malignant diagnoses. 31% of men and 23,8% of women had benign diagnoses.

Conclusion:

Orbital tumors are rare. The choice of the surgical approach depends on the tumor's location and size. Histological results can be obtained via biopsy, subtotal or total excision. Diagnosis and therapy depend on interdisciplinary cooperation. Imaging procedures should be used preoperatively when symptoms arise.

Publication History

Publication Date:
23 April 2019 (online)