Endoscopic Transorbital Surgery: Medial Orbital (Precaruncular) Approach

Open Education Resource

2025-03-08

Permanent link to this Item
http://hdl.handle.net/11427/43615
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Endoscopic transorbital surgery - medial orbital _precaruncular_ approach.pdf (1.25 MB)
Authors
Lubbe, Darlene
Journal Title
Link to Journal
Journal ISSN
Volume Title
Publisher
Publisher
Department
Division of Otorhinolaryngology
Faculty
Faculty of Health Sciences
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http://creativecommons.org/licenses/by-nc/4.0/

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Abstract
Access to the ethmoidal arteries is required to ligate the vessels with nasoethmoid traumatic fractures or to assist with haemostasis prior to resecting sinonasal tumours. The Lynch-Howarth incision has been the gold standard to approach these arteries, with the frontoethmoidal suture line said to be the optimal way of finding these arteries. However, this external approach should be replaced by the precaruncular approach to access these arteries for the following reasons: Lynch-Howarth incision •External facial incision can cause cos-metically unacceptable scars •Dissection through skin, subcutaneous tissue, and orbicularis oculi muscle is required with suturing of the incision •Bleeding can be encountered from the angular vessels
Description
Keywords
Endoscopic
Transobital
Medial Orbital
Surgery
Optic Nerve Decompression
Cavernous Haemangioma

Reference:

Lubbe, D. 2025. Endoscopic Transorbital Surgery: Medial Orbital (Precaruncular) Approach [OER]. ,Faculty of Health Sciences ,Division of Otorhinolaryngology, Division of Otorhinolaryngology. http://hdl.handle.net/11427/43615

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