In Cuba, new technique for minimal-access orbital tumor surgery

ACN:The Sixth International Ophthalmology Conference ongoing in Havana parallel to the Fourteenth Cuban Ophthalmology Conference gave special acknowledgement to Cuba’s success in minimal-access orbital tumor surgery.Dr. Carlos Mendoza, head of neuro-ophthalmology services at the Ramón Pando Ferrer Cuban Institute of Ophthalmology, explained that for years orbital tumors (found behind the eye globe) have been removed using different trans-skull surgerical techniques.

At the Ramón Pando Ferrer Institute, a new minimum access technique is currently being used to remove large tumors —both benign and malignant— through small subconjunctival incisions. The entrance point is between the eye and the conjuntiva, avoiding massive trans-skull surgeries, Mendoza said.

For these minimal-access surgeries, specialists use state-of-the-art technology consisting of precise new endoscopic systems; and cutting, coagulation and aspiration systems.

The advantages of this technique include minimum invasion and speedy patient recovery.

“We remove tumors located within the orbital cavity, which has an average capacity of some 30 cubic milimiters. When the lesions involve neighboring structures, other specialists participate in the procedure including ear, nose, and throat specialists, maxillofacialists and neurosurgeons,” Mendoza said.

In Cuba, the first minimal-access orbital tumor surgery was carried out two years ago. More than 25 have been carried out since and specialists are gaining experience. With the acquisition of equipment and adequate training, it could soon be offered across the country.

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