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  • 2/25/2015
The orbit is the cavity or socket of the skull (head) in which the eye and its appendages are situated. In the orbit, fat tissue, which surrounds the eyeball and its muscles, keeps the rotation of the eye smooth. Orbital Tumors and masses (e.g. neural tumors like glioma and meningioma of the optic nerve, vascular tumors like cavernous hemangioma and lymphangioma, thyroid eye disease and cancers and neoplasms like orbital lymphoma) produce axial protrusion (bulging forward) of the eye (also called proptosis) and displacement of the eye. Removal of these orbital masses is performed using a surgical oculoplastic procedure called an orbitotomy (indications for orbital surgery), a surgery performed to open the orbit and access the tumours and remove them. Orbitotomies can be of many types - Lateral Orbitotomy, Anterior Orbitotomy, Medial Orbitotomy and a combination of the Lateral and Medial orbitotomies. Orbitotomies are performed by oculoplastic surgeons.

You can visit-
http://www.theestheticclinic.com/reconstructive/orbital-disease.html

The lateral orbitotomy is an oculoplasty surgical approach that is best suited to lesions of the lateral, inferiolateral, superior, and posterior orbit (behind the eye). The main advantage of this approach, besides a large exposure, is the fact that the optic nerve lies medially in the orbit and is thus less likely to be inadvertently damaged during surgery. Many different skin incisions have been used to approach this area. This procedure is performed under general anesthesia.
In this video, patient laxmamma, a 43 year old lady, presented with slight blurring of vision (reduced vision) in the right eye, along with the right eye being slightly more prominent (proptosis / exophthalmos) than the left eye. A CT Scan performed demonstrated a large mass behind the right eyes. The patient underwent a lateral orbitotomy, performed by Dr. Debraj Shome, in which the bone lateral to the eye was cut out and a large 5 cms in size tumor carefully removed. The orbital and temporal bone were re-positioned post surgery. The patient completely recovered vision and has been well for over 5 years. The tumor was histo-pathologically diagnosed as a cavernous hemangioma, a type of an orbital vascular tumor. Cost of this vision saving surgery was very reasonable.
Dr. Debraj Shome is one of the top / best oculoplastic surgeons & facial plastic surgeons in the world and is currently based in Mumbai, India. He has received super-specialty training in oculoplastic surgery, facial plastic and cosmetic surgery, eyelid surgery, orbital and lacrimal surgery. Dr. Debraj Shome specializes in all surgical approaches to the orbit, including lateral, medial, anterior and other types of endoscopic orbitotomies.

Some of the referral link from official blog-
http://www.debrajshome.com/graves-disease-orbitotomy-orbital-decompression-surgery/
http://debrajshome.wordpress.com/2013/12/09/fracture-treatment-lefort-mandible-cheek-orbital-nose-face/

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