Orbital Surgery
Access to the orbital cavity is gained
primarily through an anterior approach (transconjunctival or transpalpebral approaches yield
good cosmetic results) or through a lateral approach. The lateral Krönlein approach provides better
intraoperative exposure. Transantral,
transfrontal, transcranial, and trans-nasal
orbitotomies are used less frequently.
Orbital exenteration is indicated with advanced malignant tumors. Thisinvolves
removal of the entire contents of the orbital cavity including the eye-lids.
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