The clinical characteristics and microsurgical management of brain tumors invading orbital region

Objective To study the effectiveness of the clinical characteristics and management of brain tumors invading orbital region. Methods The tumors were diagnosed via the clinical analysis and imaging test in fifty-eight patients. The tumors were excised with different approaches and the microsurgical technique. In this series all tumors invaded into the orbital cavity from the anterior(50 cases)or middle fossa 8 cases including the supraorbital ridge orbital roof and lateral wall and floor. The patients showed the headache swirl as symptoms of increased intracranial pressure in 39 cases 67.2% and had malfunction of optic organs in 54 93.1%.Results The tumors had a total removal in 46 cases 79.3% and subtotal removal in 12 20.7% .No patients died in our group. Patients follow-up ranged from 6 months to 9 years with a mean of 3.6 years in 48 cases showed that 39 cases(81.3% recovered to normal life and 9 cases 18.7% had different degree of sequela. Conclusions One of the mostcommon clinical manifestation of brain tumors invadingorbital region is disorders in optic organs. The microsurgical technique as well as combined operative approaches may result in a good prognosis for these patients.