The Diagnosis and Microsurgical Treatment of the Complex Cranio-orbital Tumors

Objective To probe the diagnosis and effectiveness of the microsurgical treatment for complex cranio-orbital tumors. Methods These tumors were diagnosed via the clinical analysis and imaging test in sixty-one patients. In this series, all tumors involve into the orbital cavity, including the supraorbital ridge, orbital roof and lateral wall and floor in intracranial. The patients showed the malfunction of optic organs in 57( 93.4% ). The tumors were excised utilized the transcranial approach to the orbit and transcranial approach with resection of orbital roof, and the microsurgical technique. Results The tumors had a total removal in 49 cases ( 80.3% ) and subtotal removal in 12 ( 19.7% ). At postoperation, patients had a resume all right and no death in our group. Patients follow-up ranged from 6 months to 9 years with a mean of 3.6 years in 50 cases, showed that 41 cases ( 82.0% )resume normal life and 9 cases ( 18.0% ) with different degree sequela. Conclusion One of the most common clinical manifestations of the complex cranio-orbital tumors is disorders in optic organs. The choice of the most suitable operative approach for this lesions is made on the basis of tumor location, size, apparent site of origin, as well as combined microsurgical technique, may result in a good results for these patients.