neurosurgeryНейрохирургияRussian journal of neurosurgery1683-32952587-7569Издательский дом "МедИНК"10.24412/2587-7569-2025-1-60-74neurosurgery-1648Research ArticleНАБЛЮДЕНИЕ ИЗ ПРАКТИКИFROM PRACTICEХирургические доступы к кавернозным гемангиомам орбиты (клинические наблюдения)Surgical aproaches to cavernous hemangiomas of the orbit (clinical cases)https://orcid.org/0000-0002-9140-0645АмиралиеваМ. Ш.AmiralievaM. Sh.

Мадина Шамильевна Амиралиева

117513 Москва, ул. Островитянова, 1, стр. 10

Madina Sh. Amiralieva.

Bld. 10, 1 Ostrovityanova St., Moscow 117513

amiralievamadina@mail.ruhttps://orcid.org/0000-0002-1320-5772ГригорьевИ. В.GrigorievI. V.

117513 Москва, ул. Островитянова, 1, стр. 10

Bld. 10, 1 Ostrovityanova St., Moscow 117513

https://orcid.org/0000-0001-7060-0667МельченкоС. А.MelchenkoS. A.

117513 Москва, ул. Островитянова, 1, стр. 10

Bld. 10, 1 Ostrovityanova St., Moscow 117513

https://orcid.org/0000-0003-4161-0940КаландариА. А.KalаndariA. A.

129090 Москва, Большая Сухаревская пл., 3

3 Bolshaya Sukharevskaya Sq., Moscow 129090

https://orcid.org/0000-0003-4620-3922ПацапО. И.PatsapO. I.

117513 Москва, ул. Островитянова, 1, стр. 10

Bld. 10, 1 Ostrovityanova St., Moscow 117513

https://orcid.org/0000-0003-3930-5998ДолгушинМ. Б.DolgushinM. B.

117513 Москва, ул. Островитянова, 1, стр. 10

Bld. 10, 1 Ostrovityanova St., Moscow 117513

https://orcid.org/0000-0002-5743-8279СенькоИ. В.SenkoI. V.

117513 Москва, ул. Островитянова, 1, стр. 10

Bld. 10, 1 Ostrovityanova St., Moscow 117513

ФГБУ «Федеральный центр мозга и нейротехнологий» Федерального медико-биологического агентства РоссииРоссияFederal Center of Brain Research and Neurotechnologies, Federal Medical and Biological Agency of RussiaRussian FederationГБУЗ г. Москвы «Научно-исследовательский институт скорой помощи им. Н. В. Склифосовского Департамента здравоохранения г. Москвы»РоссияN.V. Sklifosovsky Research Institute for Emergency Medicine, Moscow Healthcare DepartmentRussian Federation2025190420252716074Copyright © Амиралиева М.Ш., Григорьев И.В., Мельченко С.А., Каландари А.А., Пацап О.И., Долгушин М.Б., Сенько И.В., 20252025Амиралиева М.Ш., Григорьев И.В., Мельченко С.А., Каландари А.А., Пацап О.И., Долгушин М.Б., Сенько И.В.Amiralieva M.S., Grigoriev I.V., Melchenko S.A., Kalаndari A.A., Patsap O.I., Dolgushin M.B., Senko I.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.therjn.com/jour/article/view/1648

Кавернозная гемангиома орбиты (КГО) – наиболее часто встречающееся доброкачественное сосудистое образование орбиты у взрослых. Оптимальной стратегией лечения КГО считают хирургическую резекцию, основная цель которой – тотальное удаление образования с наилучшим функциональным и косметическим результатом. Для удаления КГО применяют различные варианты доступов в зависимости от размера и локализации образования, специализации и предпочтений оперирующего хирурга.

В статье представлены три клинических наблюдения пациентов с КГО, проходивших лечение в Федеральном центре мозга и нейротехнологий ФМБА России. В двух случаях резекция КГО выполнена с помощью модифицированного орбитозигоматического доступа, в одном случае применен трансназальный эндоскопический доступ.

Вопрос выбора хирургического доступа к образованиям орбиты остается предметом дискуссий среди офтальмологов, нейрохирургов и челюстно-лицевых хирургов. Хирургическое лечение КГО требует дополнительных клинических и анатомических исследований для систематизации хирургических методов с учетом широкого выбора доступов, специфичности анатомии орбиты, локализации КГО, специализации хирурга и индивидуальных особенностей пациента.

Cavernous hemangioma of the orbit (CHO) is the most common benign vascular malformation in adults. Surgical resection is considered the optimal treatment strategy for CHO with the aim to totally remove the malformation with the best functional and cosmetic results. During CHO resection, different types of approaches are used depending on the size and location of the malformation, specialization and preferences of the surgeon.

The article presents 3 clinical cases of patients with CHO who underwent treatment at the Federal Center of Brain Research and Neurotechnologies of the Federal Medical and Biological Agency (FCBRN of FMBA of Russia). In two cases, the CHO was resected using a modified orbitozygomatic approach, in one case a transnasal endoscopic approach was applied. The choice of surgical approach to orbital neoplasms continues to be a topic of discussion between ophthalmologists, neurosurgeons and maxillofacial surgeons. Surgical treatment of CHO requires additional clinical and anatomical research to systematize surgical techniques, taking into consideration the wide range of approaches, specific anatomy of the orbit, localization of CHO, specialization of the surgeon, and individual characteristics of the patient.

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The authors declare that there are no conflicts of interest present.