Surgical aproaches to cavernous hemangiomas of the orbit (clinical cases)
M. Sh. Amiralieva,
I. V. Grigoriev,
S. A. Melchenko,
A. A. Kalаndari,
O. I. Patsap,
M. B. Dolgushin,
I. V. Senko https://doi.org/10.24412/1683-3295-2025-27-1-60-74
Аннотация
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.
Об авторах
M. Sh. Amiralieva
Federal Center of Brain Research and Neurotechnologies, Federal Medical and Biological Agency of Russia
Россия
Россия
Amiralieva Madina Shamilevna.
Bld. 10, 1 Ostrovityanova St., Moscow 117513
I. V. Grigoriev
Federal Center of Brain Research and Neurotechnologies, Federal Medical and Biological Agency of Russia
Россия
Россия
Bld. 10, 1 Ostrovityanova St., Moscow 117513
S. A. Melchenko
Federal Center of Brain Research and Neurotechnologies, Federal Medical and Biological Agency of Russia
Россия
Россия
Bld. 10, 1 Ostrovityanova St., Moscow 117513
A. A. Kalаndari
N.V. Sklifosovsky Research Institute for Emergency Medicine, Moscow Healthcare Department
Россия
Россия
3 Bolshaya Sukharevskaya Sq., Moscow 129090
O. I. Patsap
Federal Center of Brain Research and Neurotechnologies, Federal Medical and Biological Agency of Russia
Россия
Россия
Bld. 10, 1 Ostrovityanova St., Moscow 117513
M. B. Dolgushin
Federal Center of Brain Research and Neurotechnologies, Federal Medical and Biological Agency of Russia
Россия
Россия
Bld. 10, 1 Ostrovityanova St., Moscow 117513
I. V. Senko
Federal Center of Brain Research and Neurotechnologies, Federal Medical and Biological Agency of Russia
Россия
Россия
Bld. 10, 1 Ostrovityanova St., Moscow 117513
Список литературы
1. Reshef E.R., Bleier B.S., Freitag S.K. The endoscopic transnasal approach to orbital tumors: a review. Semin Ophthalmol 2021;36(4):232–40. DOI: 10.1080/08820538.2021.1890794
2. Shields J.A., Shields C.L., Scartozzi R. Survey of 1264 patients with orbital tumors and simulating lesions: the 2002 Montgomery Lecture, Part 1. Ophthalmology 2004;111(5):997–1008. DOI: 10.1016/j.ophtha.2003.01.002
3. Manual on clinical ophthalmology. Ed. by A.F. Brovkina. Moscow: Meditsinskoe informatsionnoye agentstvo, 2014. (In Russ.).
4. Calandriello L., Grimaldi G., Petrone G. еt al. Cavernous venous malformation (cavernous hemangioma) of the orbit: current concepts and a review of the literature. Surv Ophthalmol 2017;62(4):393–403. DOI: 10.1016/j.survophthal.2017.01.004
5. Yan J., Wu Z. Cavernous hemangioma of the orbit: analysis of 214 cases. Orbit 2004;23(1):33–40. DOI: 10.1076/orbi.23.1.33.28992
6. Grusha Ya.O., Ismailova D.S., Eksarenko O.V. et al. Giant cavernous hemangioma of the orbit (case report). Vestnik Oftalmologii = Russian Annals of Ophthalmology 2014;130(2):44–9. (In Russ.).
7. Jayaram A., Lissner G.S., Cohen L., Karagianis A.G. Potential correlation between menopausal status and the clinical course of orbital cavernous hemangiomas. Ophthalmic Plast Reconstr Surg 2015;31(3):187–90. DOI: 10.1097/IOP.0000000000000240
8. Rootman J., Heran M.K., Graeb D.A. Vascular malformations of the orbit: classification and the role of imaging in diagnosis and treatment strategies. Ophthalmic Plast Reconstr Surg 2014;30(2):91–104. DOI: 10.1097/IOP.0000000000000122
9. Rootman D.B., Heran M.K.S., Rootman J. et al. Cavernous venous malformations of the orbit (so-called cavernous haemangioma): a comprehensive evaluation of their clinical, imaging and histologic nature. Br J Ophthalmol 2014;98(7):880–8. DOI: 10.1136/bjophthalmol-2013-304460
10. Jeon C., Hong S.D., Woo K.I. et al. Use of endoscopic transorbital and endonasal approaches for 360° circumferential access to orbital tumors, J Neurosurg 2020;135(1):103–12. DOI: 10.3171/2020.6.JNS20890
11. Bachelet J.T., Berhouma M., Shipkov H. еt al. Orbital сavernous рemangioma сausing ыpontaneous сompressive рemorrhage. J Craniofac Surg 2018;29(3):706–8. DOI: 10.1097/SCS.0000000000004285
12. Harris G.J., Jakobiec F.A. Cavernous hemangioma of the orbit. J Neurosurg 1979;51(2):219–28. DOI: 10.3171/jns.1979.51.2.0219
13. Garner A. Cavernous haemangioma of the orbit: a consideration of its origin and development. Orbit 1988;7(3):149–56. DOI: 10.3109/01676838809032013
14. Simard J.M., Garcia-Bengochea F., Ballinger W.E. Jr. еt al. Cavernous angioma: a review of 126 collected and 12 new clinical cases. Neurosurgery 1986;18(2):162–72. DOI: 10.1227/00006123-198602000-00008
15. Shchurova I.N., Pronin I.N., Melʼnicova-Pitskhelauri T.V. еt al. Orbital hemangiomas: capabilities of modem neuroradiological diagnostics. Zurnal Voprosy neyrokhirurgii im. N.N. Burdenko = Burdenko’s Journal of Neurosurgery 2018;82(4):57–69. (In Russ.).
16. Otto C.S. Coppit G.L., Mazzoli R.A. et al. Gaze-evoked amaurosis: a report of five cases. J Ophthalmol 2003;110(2):322–6. DOI: 10.1016/S0161-6420(02)01642-1
17. Kim B.S., Im Y.S., Woo K.I. еt al. Multisession gamma knife radiosurgery for orbital apex tumors. J World Neurosurg 2015;84(4):1005–13. DOI: 10.1016/j.wneu.2015.04.042
18. Bagheri A., Khandan S., Salour H. еt al. Recurrent orbital cavernous hemangioma due to overlooked multiple tumors. J Ophthalmic Vis Res 2012l;7(3):244–7.
19. Curragh D.S., Halliday L., Selva D. Endonasal approach to orbital pathology, ophthalmic plast reconstr surg. 2018;34(5):422–7. DOI: 10.1097/IOP.0000000000001180
20. Cho K.J., Paik J.S., Yang S.W. Surgical outcomes of transconjunctival anterior orbitotomy for intraconal orbital cavernous hemangioma. Korean J Ophthalmol 2010;24(5):274–8. DOI: 10.3341/kjo.2010.24.5.274
21. Srinivasan A., Bilyk J.R. Transcranial approaches to the orbit. Int Ophthalmol Clin 2018;58(2):101–10. DOI: 10.1097/IIO.0000000000000224
22. Dzhindzhikhadze R.S., Dreval O.N., Lazarev V.A., Poliakov A.V. The Transpalpebral keyhole approach in surgery of orbital cavernomas: a case report and literature review. Zurnal voprosy neyrokhirurgii im. N.N. Burdenko = Burdenko’s Journal of Neurosurgery 2018;82(3):73–80. (In Russ., In Engl.). DOI: 10.17116/neiro201882373
23. Low C.M., Stokken J.K. Typical orbital pathologies: hemangioma. J Neurol Surg B 2021;82(1):20–6. DOI: 10.1055/s-0040-1722633
24. Cho R.I. Transcutaneous and transconjunctival surgical approaches to the orbit. In: Oculofacial, orbital, and lacrimal surgery. Ed. by A.J. Cohen, C.N. Burkat. Springer Cham, 2019. Pp. 591–601.
25. Dandy W.E. Prechiasmal intracranial tumors of the optic nerves. Am J Ophthalmol 1922;5:169–88.
26. Gardner P.A., Zenonos G.A., Formentin C., Pichugin A. Transcranial approaches to the orbit. J Neurol Surg B Skull Base 2020;81(4):450–8. DOI: 10.1055/s-0040-1713855
27. Matsuo S., Komune N., Iihara K. Translateral orbital wall approach to the orbit and cavernous sinus: anatomic study. Oper Neurosurg (Hagerstown) 2016;12(04):360–73. DOI: 10.1227/NEU.0000000000001145
28. Cherekaev V.A., Yakovlenko Yu.G., Belov A.I., Lasunin N.V. Case of cavernous hemangioma of the optic canal and superior orbital fissure. Zhurnal Onkologiya im. P.A. Hertsena = P.A. Herzen Journal of Oncology 2014;3(3):73–8. (In Russ.).
29. Numa Y., Kawamoto K. Frontozygomatic approach to intraorbital tumors. Skull Base 2007;17(5);303–10. DOI: 10.1055/s-2007-986433
30. Chang C.W. Orbitozygomatic approach for excisions of orbital tumors with 1 piece of craniotomy bone flap: 2 case reports. Surg Neurol 2007;68(Suppl 1):S56–9; discussion S59. DOI: 10.1016/j.surneu.2007.02.014
31. Banks C., Husain Q., Bleier B.S. Endoscopic endonasal intraconal orbit surgery. World J Otorhinolaryngol Head Neck Surg 2019;6(2):100–5. DOI: 10.1016/j.wjorl.2019.07.001
32. Bleier B.S., Healy D.Y. Jr., Chhabra N., Freitag S. Compartmental endoscopic surgical anatomy of the medial intraconal orbital space. Int Forum Allergy Rhinol 2014;4(7):587–91. DOI: 10.1002/alr.21320
33. Franco J., Zwagerman N., Snyderman C. еt al. An update on the endoscopic endonasal approach to orbital and orbital apex lesions: a series of 97 patients. J Neurol Surg B Skull Base 2020;81(S 01): S1–S272. DOI: 10.1055/s-0040-1702333
34. Ma J., Zhou B., Qian H. et al. Transnasal endoscopic resection of orbital cavernous hemangiomas: our experience with 23 cases. Int Forum Allergy Rhinol 2019;9(11):1374–80. DOI: 10.1002/alr.22383
35. Rassi E.E, Adappa N.D., Baglia P. et al. Development of the international orbital Cavernous Hemangioma Exclusively Endonasal Resection (CHEER) staging system. Int Forum Allergy Rhinol 2019;9(7):804–12. DOI: 10.1002/alr.22316
36. Montano N., Lauretti L., D’Alessandris Q.G. et al. Orbital tumors: report of 70 surgically treated cases. World Neurosurg 2018;119:e449–e58. DOI: 10.1016/j.wneu.2018.07.181
37. Paluzzi A., Gardner P.A., Fernandez-Miranda J.C. et al. “Round-the-Clock” surgical access to the orbit. J Neurol Surg B 2015;76(1):12–24. DOI: 10.1055/s-0033-1360580
38. Claró P., Choffor-Nchinda E., Lopez-Fortuny M. et al. Orbital cavernous haemangioma; profile and outcome of 76 patients managed surgically. Acta Otolaryngol 2019;139(8):720–5. DOI: 10.1080/00016489.2019.1618913
39. Zhang X., Hua W., Quan K. еt al. Endoscopic endonasal intraconal approach for orbital tumor resection: case series and systematic review. Front Oncol 2022;11:780551. DOI: 10.3389/fonc.2021.780551
40. Dubal P.M., Svider P.F., Denis D. et al. Short-term outcomes of purely endoscopic endonasal resection of orbital tumors: a systematic review. Int Forum Allergy Rhinol 2014;4(12):1008–15. DOI: 10.1002/alr.21402
Рецензия
Для цитирования:
Amiralieva M.Sh., Grigoriev I.V., Melchenko S.A., Kalаndari A.A., Patsap O.I., Dolgushin M.B., Senko I.V. Surgical aproaches to cavernous hemangiomas of the orbit (clinical cases). Нейрохирургия. 2025;27(1):60-74. https://doi.org/10.24412/1683-3295-2025-27-1-60-74
For citation:
Amiralieva M.Sh., Grigoriev I.V., Melchenko S.A., Kalаndari A.A., Patsap O.I., Dolgushin M.B., Senko I.V. Surgical aproaches to cavernous hemangiomas of the orbit (clinical cases). Russian journal of neurosurgery. 2025;27(1):60-74. https://doi.org/10.24412/1683-3295-2025-27-1-60-74
Просмотров:
124
Послать статью по эл. почте 
