Transnasal endoscopic approach for orbital apical cavernous hemangiomas:a case report  

作　　者：Ningyu An Junfeng Piao Wei Yang Jinyan Zhu Junxiu Liu Qian Li 

机构地区：[1]Department of ophthalmology,Ningxia Eye Hospital,Peoples’Hospital of Ningxia Hui Autonomous Region,Ningxia Clinical Research Center on Disease of Blindness in Eye,First Affiliated Hospital of Northwest University for Nationalities,Yinchuan,China

出　　处：《Annals of Eye Science》2020年第3期77-83,共7页眼科学年鉴（英文）

基　　金：This work was supported by the National Natural Science Foundation of China(81960184);Ningxia Key Research and Development Program(Special Talents)(2018beb04023);Ningxia Key Research and Development Program(General Subject)(2018YBZD1445).

摘　　要：Cavernous hemangioma is the most primary benign orbital tumor in adults,and majority of cases could be easily settled by surgical treatment.However,cavernous hemangioma lodged deep in the orbital apex remained a challenge because the surgery may pose a high risk of injury to the optic nerve and significant visual loss.This presentation would report a case of cavernous hemangioma located in orbital apex who presented superonasal and inferotemporal peripheral vision defect.The patient received fully transnasal endoscopic surgery,and a 2 cm×1.5 cm tumor was successfully removed from the left orbital apex.The treatment results were satisfactory,with no after-effects and adverse reactions during follow-up.This case highlighted that transnasal endoscopic surgery is a promising technique for cavernous hemangiomas that are located deep in orbital apex.This approach provides direct pathway to tumor with limiting morbidity,maximal surgical field and ample illumination.The procedure represents a safe and less invasive management.

关 键 词：Transnasal endoscopic surgery orbital apical region cavernous hemangiomas case report 

分 类 号：R73[医药卫生—肿瘤]