Comparison of the Clinical Outcome of Orbitotomy for Orbital Cavernous Hemangiomas Removal Through Transconjunctival Orbitotomy and Lateral-Medial Orbitotomy

Yabin YANG; Hongqin KE; Cong DUAN; Liwei ZHANG

doi:10.12259/j.issn.2095-610X.S20220408

Volume 43 Issue 4

Apr. 2022

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Yabin YANG, Hongqin KE, Cong DUAN, Liwei ZHANG. Comparison of the Clinical Outcome of Orbitotomy for Orbital Cavernous Hemangiomas Removal Through Transconjunctival Orbitotomy and Lateral-Medial Orbitotomy[J]. Journal of Kunming Medical University, 2022, 43(4): 38-43. doi: 10.12259/j.issn.2095-610X.S20220408

Citation:

Yabin YANG, Hongqin KE, Cong DUAN, Liwei ZHANG. Comparison of the Clinical Outcome of Orbitotomy for Orbital Cavernous Hemangiomas Removal Through Transconjunctival Orbitotomy and Lateral-Medial Orbitotomy[J]. Journal of Kunming Medical University, 2022, 43(4): 38-43. doi: 10.12259/j.issn.2095-610X.S20220408

Citation:

Yabin YANG, Hongqin KE, Cong DUAN, Liwei ZHANG. Comparison of the Clinical Outcome of Orbitotomy for Orbital Cavernous Hemangiomas Removal Through Transconjunctival Orbitotomy and Lateral-Medial Orbitotomy[J]. Journal of Kunming Medical University, 2022, 43(4): 38-43. doi: 10.12259/j.issn.2095-610X.S20220408

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Comparison of the Clinical Outcome of Orbitotomy for Orbital Cavernous Hemangiomas Removal Through Transconjunctival Orbitotomy and Lateral-Medial Orbitotomy

doi: 10.12259/j.issn.2095-610X.S20220408

Dept. of Ophthalmology，The Affiliated Hospital of Yunnan University/The 2nd People’s Hospital of Yunnan Province/Yunnan Ophthalmology Hospital/ Key Laboratory of Yunnan Province for The Prevention and Treatment of Ophthalmology，Yunnan Eye Institute，Kunming Yunnan 650021，China

Received Date: 2022-01-01
Accepted Date: 2022-02-28

Available Online: 2022-03-15

Publish Date: 2022-04-25

Abstract

Abstract

Objectve To evaluate the clinical outcomes of orbitotomy for orbital cavernous hemangiomas through transconjunctival orbitotomy and lateral-medial orbitotomy. Methods A retrospective analysis was performed on 68 cases of orbital cavernous hemangioma admitted to the Second People’s Hospital of Yunnan Province from September 2009 to September 2019. All cases were divided into two groups, patients underwent transconjunctival orbitotomy were assigned in group A （33 cases）and patients underwent lateral-medial orbitotomy were assigned in group B （35 cases）. Average hospital stay, operating time, operation space, bleeding volume, complete tumor removal rate, and postoperative complications were evaluated（P > 0.05）. Results The average hospital stay was （5.03 ± 1.63）d in group A and （8.34 ± 2.13）d in group B, and the difference was statistically significant （t = -4.926, P = 0.000）. The mean operation time was （55.62 ± 5.43）min in group A and （109.21 ± 13.72）min in group B, and the difference was statistically significant （t = -16.428, P = 0.000）. The operation space was measured by water injection method, which was expressed by the volume of water injection. The average value of group A was （5.22 ± 0.21）mL, and that of group B was （16.501 ± 1.22）mL, with statistical significance （t = -48.362, P = 0.000）. Blood loss was （17.22 ± 1.65）mL in group A and （59.29 ± 6.42）mL in group B, and the difference was statistically significant （t = -28.098, P = 0.000）. The complete tumor removal rate was 90.9% （30/33） in group A and 97.14% （34/35）in group B. Postoperative visual acuity: 93.9% （31/33） of patients in group A had improved or unchanged postoperative visual acuity, and 6.06% （2/33） had decreased postoperative visual acuity. In group B, 85.71% （30/35） had improved or unchanged visual acuity, and 14.3% （5/35） had decreased or lost visual acuity. Conclusion Both transconjunctival orbitotomy and lateral-medial orbitotoy have advantages and disadvantages. The key of removing orbital cavernous hemangiomas completely is to select the right operation method. Preoperative imaging data should be used to accurately determine the location and size of the tumor.
- Orbital cavernous hemangiomas,
- Transconjunctival orbitotomy,
- Lateral-medial orbitotomy

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