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88th Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

24.05. - 27.05.2017, Erfurt

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Transnasal and non-transnasal endoscopic treatment of orbital pathologies

Meeting Abstract

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  • corresponding author Marek Rogowski - Univ. HNO-Klinik, Bialystok, Polen
  • Tomasz Lyson - Department of Neurosurgery, Medical University of Bialystok, Bialystok, Polen
  • Andrzej Sieskiewicz - Department of Otolaryngology, Medical University of Bialystok, Bialystok, Polen
  • Zenon Mariak - Department of Neurosurgery, Medical University of Bialystok, Bialystok, Polen
  • Agnieszka Budnik - Department of Ophtalmology, Medical University of Bialystok, Bialystok, Polen

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. 88. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. Erfurt, 24.-27.05.2017. Düsseldorf: German Medical Science GMS Publishing House; 2017. Doc17hno072

doi: 10.3205/17hno072, urn:nbn:de:0183-17hno0720

Published: April 13, 2017

© 2017 Rogowski et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.

Outline

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Introduction: Orbital pathologies are traditionally operated using microscopic technique. Application of the endoscopy in orbital surgery is still limited. The endoscopic technique, that is most frequently described is transnasal endoscopic approach for medially located orbital pathologies. In this presentation the novel capabilities of application of purely endoscopic technique using either transnasal or external approach to intraorbital lesions were demonstrated.

Methods: The retrospective review of 72 patients who underwent an intraorbital endoscopic surgery between 2006 and 2016 in the Department of Neurosurgery and Department of Otolaryngology at the Medical University of Bialystok was made. In this presentation the novel capabilities of application of purely endoscopic technique using either transnasal or external approach to intraorbital lesions were demonstrated.

Results: All compartments of the orbit - middle, inferior, lateral and superior including intraconal space were explored endoscopically for a wide range of intraorbital pathologies like tumors, foreign bodies, abscesses and different ophtalmopathies. The advantages of minimally invasive endoscopic technique in orbital surgery as well as additional equipment indispensable for keeping this surgery as low traumatic as possible were presented.

Conclusions: Endoscopic approaches to the intraorbital pathologies could be an effective, less invasive alternative to classic open surgical technique.

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