Comparative Clinical Outcomes of Different Orbitotomy Approaches in the Surgical Management of Orbital Tumors.
Visual acuity and eye movement were preserved in most patients after orbital tumor surgery
Comparative Clinical Outcomes of Different Orbitotomy Approaches in the Surgical Management of Orbital Tumors.
Optimal surgical management of orbital tumors requires precise selection of the surgical approach to achieve complete tumor removal while preserving visual function and maintaining cosmetic outcomes.
This study aimed to evaluate and compare the clinical outcomes of different orbitotomy approaches-including lateral, inferior, supraorbital, and endoscopic endonasal techniques-in the surgical management of orbital tumors.
A retrospective single-center study was conducted on 68 patients (36 men and 32 women; mean age: 42.1 ± 14.3 years) who underwent surgical treatment for orbital tumors between 2018 and 2024.
Mean postoperative orbital volume at six months was 26.31 ± 1.28 mL on the operated side and 25.71 ± 1.82 mL on the contralateral side, with no significant difference ( p > 0.05).
Globe projection differences were < 2 mm in 94.1% of patients.
Postoperative complications were minimal, with only a few cases of transient diplopia.
Selection of orbitotomy approach based on tumor localization allows safe and effective surgical management of orbital tumors.
Both traditional and minimally invasive approaches can provide favorable functional and cosmetic outcomes when applied according to anatomical indications.