How long does orbital tumor recur after operation?

summary

Orbital surgery approach selection basis: the nature of the tumor, but in life, many people are not very aware of this early symptoms, and the onset of the disease has been quite serious. For example, the larger lacrimal gland epithelial tumors need lateral orbitotomy; However, the lacrimal gland inflammatory pseudotumor underwent anterior orbital surgery; The location of the tumor, such as the cavernous hemangioma without adhesion in the muscle cone and located in some specific locations, can be through the lateral canthus incision combined with conjunctival approach, and the medial orbit should be opened for the tumors inside the optic nerve or medial rectus muscle. Now, how long does orbital tumor recur after surgery?.

How long does orbital tumor recur after operation?

First, the skin incision should be consistent with the dermatoglyph, so that the postoperative scar is more beautiful or not obvious; The curvature of the incision should be large, and the incision should be along the orbital margin“ The modified S-shaped incision should not be at right angles when turning; The incision under the eyelash should be 1 mm below the eyelash. If the tension is large, the incision can be 1 cm below the outer canthus

Second, the following principles should be followed: ① the combination of blunt and sharp dissection should be adopted as far as possible. When the lesion adheres closely to the normal structure of the orbit, forced dissection is easy to cause serious damage. ② when the tumor has a capsule (benign pleomorphic adenoma of lacrimal gland, neurilemmoma), it should be stripped along the tumor capsule to reduce the damage to the normal structure, (4) when the malignant tumor is dissected, the tumor should be completely excised at the normal interface outside the tumor

The third is to remove the tumor. The texture of the orbital tumor is different, and the removal methods are also different; ② For brittle tumors, such as benign pleomorphic adenoma of lacrimal gland, periosteum around the lesion can only be clipped, otherwise the tumor will be broken and cause recurrence. Thick suture can be used to suture the middle and upper part of the tumor, and then pull the tumor apart; ③ For tumors with fragile texture and thin capsule that cannot be clipped, such as schwannomas, the tumor should be completely removed as far as possible, or the contents of the tumor should be scraped off and then the capsule should be removed (only part of schwannomas can be removed in the capsule); ④ Some cystic tumors, such as mucoceles, dermoid or epidermoid cysts, were excised. Most of the cysts were separated from the whole body, and then the cystic fluid was aspirated (sometimes the fluid was aspirated too early, which made it difficult to separate the posterior part of the lesion), and then the capsule was excised under direct vision, (6) when some tumors can not be completely resected at one time, they can be resected in blocks, such as some inflammatory pseudotumors, cavernous hemangiomas with severe adhesion, some malignant tumors (the tumor should be prevented from contaminating normal tissues during operation), etc, (7) partial resection (or volume reduction) can be performed for some tumors, such as cavernous hemangioma, inflammatory pseudotumor, vascular malformation, lymphangioma, etc

matters needing attention

In fact, there are different surgical approaches in different locations of each tumor and different tumors in the same location. It needs the surgeons to have a comprehensive understanding of the tumor in order to be handy in clinical surgery and achieve the best results