An orbitotomy is a surgical procedure performed to remove a bone tumor from the orbit of the eye. It is also known as the Kroenlein operation. This operation may be necessary for various diseases, such as osteomalacia, osteoid osteoma, vascular aneurysm and others.
Orbitotomy is performed under general anesthesia and lasts about 2-3 hours. During surgery, the surgeon makes a small incision in the skin above the orbit of the eye and then removes the tumor through this incision. After the tumor is removed, the incision is closed with sutures.
One of the advantages of orbitotomy is that it allows you to completely remove the tumor and avoid recurrence. In addition, surgery may help improve vision and relieve pressure on the optic nerve.
However, like any other surgery, orbitotomy may have some risks. The most common risks include bleeding, infection, nerve and blood vessel damage, and vision loss.
In general, orbitotomy is an effective treatment for bone tumors in the orbit of the eye. However, before undergoing surgery, you must carefully evaluate the risks and benefits, and choose an experienced surgeon who can perform the operation safely and effectively.
Bone orbitotomy is a surgical operation in which a dissection of the orbit is performed in the area of its anterior wall.
Indications.
Tumors localized in the anterior part of the orbit, as well as in the area of the bone defect formed after tumor removal.
Contraindications.
Severe diseases of the cardiovascular system, lungs, liver, kidneys; decompensated diseases of the central nervous system; diabetes; mental illness; infectious diseases.
Complications.
Bleeding, infections, damage to the optic nerve, fractures and dislocations of the orbital bones.
Technique of operation.
The incision is made along the midline of the upper eyelid, 1–1.5 cm away from its edge. The skin, subcutaneous tissue, aponeurosis and muscles are dissected. The anterior part of the orbit is opened and the tumor or part thereof is removed. After the operation, the patient remains in the hospital for 5–7 days.
Recovery.
The postoperative wound heals by primary intention. Sutures are removed 7–10 days after surgery. Working capacity is restored 2–3 weeks after surgery.