PKU 3rd Hospital: Minimally Invasive Total Resection of Pediatric Orbital & Deep Facial Teratoma

🩺 [Clinical Challenge]
A 2-year-old child with a massive orbital teratoma extending through the infraorbital fissure into the pterygopalatine fossa.

Anatomical Risk: Adherence to the maxillary artery poses a fatal hemorrhage risk.

Functional Threat: Severe optic nerve compression with high risk of permanent blindness.

⚖️ [Decision Logic]
Three surgical routes were evaluated:

Endoscopic Endonasal: Insufficient exposure for deep-seated tumors.

Maxillofacial Incision: Good visibility but causes permanent scarring.

Subciliary Incision (Selected): Provides access to deep spaces while hiding scars within natural skin folds.

🛠️ [Surgical Essentials]
Precision Dissection: Safe separation of the tumor from the maxillary artery.

Reconstruction: Primary orbital restoration using bioabsorbable materials.

Sequential Drainage: Secondary ENT-led sinus ostium plasty to resolve post-operative deep tissue exudation.

✨ [Clinical Outcome]
Total resection achieved with preserved visual function and no visible scarring, showcasing the value of MDT collaboration.