Prelacrimal Transmaxillary-Orbital Approach for Resection of Lateral Extraconal Orbital Cavernous Hemangioma. | ScholarDeck

Paper

Prelacrimal Transmaxillary-Orbital Approach for Resection of Lateral Extraconal Orbital Cavernous Hemangioma.

New research · Ophthalmology

World journal of otorhinolaryngology - head and neck surgery · 1mo

StudyWorld journal of otorhinolaryngology - head and neck surgery· Mar 2026

Prelacrimal Transmaxillary-Orbital Approach for Resection of Lateral Extraconal Orbital Cavernous Hemangioma.

Zhen-Xiao Huang, Xiao-Qing Zhang, Bing Zhou

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OculoplasticsStudyTreatmentQ1IF 2.1

Novel endoscopic approach fully removed orbital tumor with no recurrence

Prelacrimal Transmaxillary-Orbital Approach for Resection of Lateral Extraconal Orbital Cavernous Hemangioma.

Zhen-Xiao Huang … Bing Zhou

World journal of otorhinolaryngology - head and neck surgery · Mar 2026

Background

Endoscopic orbital surgery is likely a reasonable option for patients with orbital cavernous hemangiomas (orbital cavernous hemangiomas) medial to the optic nerve (optic nerve).

Results

months

no tumor came back - orbit stayed clear over two years of checks

More results

The endoscopic resection of orbital cavernous hemangiomas lateral to the optic nerve is extremely challenging.

However, the application of prelacrimal recess approach for endoscopic resection of orbital cavernous hemangiomas has not been reported.

More results

A 58-year-old female presented with a 4-year history of left extraconal orbital cavernous hemangiomas causing left proptosis and diplopia.

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Conclusion

This approach represents the first reported application of a prelacrimal transmaxillary-orbital approach for extraconal OCHs inferolateral to the optic nerve, providing direct access to the orbit while preserving the integrity of the nasolacrimal duct.

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