Microsurgical treatment of cranio-orbital tumor with the frontal-temporal-orbital-zygomatic approach

Objective To study the operative approach for cranio-orbital tumor. Methods Thirty-five patients with cranio-orbital tumor diagnosed by CT or MRI were treated by the frontal-temporal-orbital-zygomatic approach with microsurgery. Results Total resection was done in 23 cases, subtotal resection in 7 cases, and gross resection in 5 cases, with no mortality. Of the 35 patients, who were followed up for 2～8 years, 26 returned to their work, and 9 suffered recurrence. Six of the 9 cases were malignant tumor, and the other 3 were sphenoid wing meningioma. Conclusion It is safe and effective to resect cranio-orbital tumor by the frontal-temporal-orbital-zygomatic approach with microsurgery.