Table 1. Patient demographics, tumor characteristics, and outcome.
Patient | Gender | Age, y | Symptoms | Intraconal/Extraconal | Clock position | Procedure | Diagnosis | Clinical outcome |
Radiol. Outcome % removed |
---|---|---|---|---|---|---|---|---|---|
1 | M | 49 | Blurry vision | Intraconal | 12–1 | FT craniotomy + orbitotomy | Cavernous hemangioma | Improved | 100 |
2 | M | 16 | Pain | Extraconal | 1–2 | EEA | Foreign body | FB removed; pain resolved; no sequelae | 100 |
3 | M | 17 | Pain, photophobia | Intraconal | 2–3 | Medial micro-orbitotomy | Foreign body | Pain resolved; photophobia remains | 100 |
4 | M | 27 | Progressive vision loss | Intraconal | 3–4 orbital apex | EEA | Angioleiomyoma | Vision improved | 100 |
5 | M | 33 | Proptosis | Extraconal | 3–5 | EEA | Orbital osteoma | Proptosis improved | 100 |
6 | F | 57 | Proptosis, diplopia | Intraconal | 4–6 | EEA + medial transconjunctival approach | Orbit carcinoid metastasis | Proptosis improved; diplopia worse | 100 |
7I | M | 60 | Proptosis, visual loss, V1 numbness | Intraconal | 5–7 | EEA + medial transconjunctival approach | Melanocytoma | Proptosis and visual loss improved | 100 |
8 | F | 48 | Vision loss | Intraconal | 6–8, orbital apex | FT craniotomy + OZ osteotomy | Cavernous hemangioma | Vision improved | 100 |
9 | F | 19 | Optic neuropathy, increased lacrimation, ptosis, strabismus | Extraconal | 8–10 | Lateral orbitotomy | Pleomorphic adenoma of the lacrimal gland | All symptoms improved | 100 |
10 | F | 50 | Progressive vision loss | Intraconal | 10–12 | FT craniotomy + orbitotomy | Noninfectious inflammatory process | Vision unchanged; improving ptosis | 50 |
11 | F | 62 | Diplopia, pressure in the eye | Extraconal | 12–6 | Combined EEA and frontal craniotomy + orbitotomy | Recurrent nasal mucosal malignant melanoma | Symptoms improved | 100 |
12 | F | 36 | Proptosis, acromegaly | Intraconal | 11–5 | Combined EEA and frontal craniotomy + orbitotomy | Neuroendocrine tumor | Proptosis improved | 100 |
Abbreviations: EEA, endoscopic endonasal approach; FT, frontotemporal; OZ, orbitozygomatic.