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Endoscopic OCH resection

Conclusion Cavernous hemangiomas are among the most common orbital tumors; however, only 23 cases could be gath- ered from experienced centers for this international study. This reflects, in part, the current lack of widespread col- laboration between oculoplastic and rhinologic surgeons. Management of intraconal OCHs exhibited the greatest variability among institutions, suggesting that additional studies are needed to further optimize the approach to le- sions in the intraconal space. As a field, we should con- tinue to work to gain a greater familiarity with endoscopic surgery of the orbit, create evidence-based protocols for en- doscopic management of orbital pathology, and cultivate the development of collaborative “orbital teams.”

in the literature using open techniques. 19,20 Although gen- eral consensus existed on multiple aspects of the workup and management of extraconal lesions, several notable ar- eas of variability existed with respect to intraconal lesions. These included the laterality and number of hands in the approach, the methods of medial rectus retraction, and the need for reconstruction. The increased technical complexity of addressing intraconal OCHs coupled with their higher reported postoperative morbidity suggests that continued research into the optimal management of this subclass of le- sions is of significant priority. The limitations of this study include the retrospective nature of the data collection as well as the modest sample size that precludes any formal statistical analysis.

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