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LeFort I OrbitotomyA New Approach to the Inferonasal Orbital Apex

 

作者: Roger Dailey,   Eric Dierks,   John Wilkins,   John Wobig,  

 

期刊: Ophthalmic Plastic and Reconstructive Surgery  (OVID Available online 1998)
卷期: Volume 14, issue 1  

页码: 27-31

 

ISSN:0740-9303

 

年代: 1998

 

出版商: OVID

 

关键词: Inferonasal apex;LeFort I osteotomy;Tumor.

 

数据来源: OVID

 

摘要:

SummaryNumerous approaches to the orbit have been elegantly described in the literature. One area of the orbit that remains difficult to approach with standard techniques is the inferonasal apex. We describe a new surgical procedure we have termed the LeFort I orbitotomy. The technique involves creation of a LeFort I osteotomy to separate the maxilla from the zygoma and nose bilaterally. The posterior inferomedial orbital bone is then removed and the periorbita opened. This approach allows a more direct, less tangential view to this area of the orbit than does a Caldwell-Luc approach. Wider access for tumor manipulation is gained than would be possible with a transnasal endoscopie approach. An illustrative case report is presented.

 

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