Topic: ESOPRS 2021 ePoster sessions
Time: Sep 17, 2021 16:00 Amsterdam, Berlin, Rome, Stockholm, Vienna, 15:00 London

 

 

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Two cases of orbital tumor excision using a modified swinging eyelid approach

Author: Ken Yamashita
ePoster Number: 267,00


Purpose

The swinging eyelid approach is a technique that can achieve a wide surgical area of the orbit and the anterior surface of the zygoma through a single incision, and is used for facial bone fractures and orbital tumor excision. However, the original method requires an lateral canthotomy to expand a surgical area, which may cause complications such as external canthal malposition. On the other hand, the lateral paracanthal incision is not performed with lateral canthotomy, but by making a full layer incision in the lower eyelid, which makes it easier to adjust the lid margin on wound closure, but has the disadvantage of not being able to obtain a wide surgical area. We used a combination of these two methods.


Methods

Two cases of orbital tumors were excised using this method.


Results

By using this method, a wide surgical field could be obtained and the wound could be closed without any complicated procedures.


Conclusion

Although the swinging eyelid approach is a useful method, the complications on wound closure was a problem because of the need for lateral canthotomy. This method is useful because it allows for a large surgical area and easier wound closure.


Additional Authors

First name Last name Base Hospital / Institution
Naho Katono Department of Plastic and Reconstructive Surgery, Sapporo Medical University School of Medicine
Toshimasa Tennoji Department of Plastic and Reconstructive Surgery, Sapporo Medical University School of Medicine
Asako Miyabayashi Department of Plastic and Reconstructive Surgery, Sapporo Medical University School of Medicine
Masahiro Onuma Department of Plastic and Reconstructive Surgery, Sapporo Medical University School of Medicine
Ayaka Kitada Department of Plastic and Reconstructive Surgery, Sapporo Medical University School of Medicine
Arisa Kita Department of Plastic and Reconstructive Surgery, Sapporo Medical University School of Medicine
Ayako Gonda Department of Plastic and Reconstructive Surgery, Sapporo Medical University School of Medicine
Shinji Kato Department of Plastic and Reconstructive Surgery, Sapporo Medical University School of Medicine
Yusuke Hamamoto Department of Plastic and Reconstructive Surgery, Sapporo Medical University School of Medicine
Takatoshi Yotsuyanagi Department of Plastic and Reconstructive Surgery, Sapporo Medical University School of Medicine

Abstract ID: 21-169