{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T15:45:08Z","timestamp":1784735108187,"version":"3.55.0"},"reference-count":16,"publisher":"MDPI AG","issue":"8","license":[{"start":{"date-parts":[[2024,8,6]],"date-time":"2024-08-06T00:00:00Z","timestamp":1722902400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Medicina"],"abstract":"<jats:p>Background: This report aims to present the case of a pediatric patient with a recurrent tumor in the superolateral orbit. Clinical Presentation: An 8-year-old patient was initially treated for a tumor in the superolateral orbit via a transconjunctival approach. The histopathological diagnosis was epidermoid cyst. Postoperatively, chronic inflammation and fistula developed in the lateral canthus area. Magnetic resonance imaging revealed a residual tumor posterior to the original tumor location. The patient was treated via a modified orbitozygomatic (mOZ) craniotomy approach that was originally applied in neurosurgery, and complete tumor removal was achieved. A temporary paralysis of the frontotemporal branch of the facial nerve was observed and fully resolved within one month following surgery. At the 18th month of follow-up, the visual, neurological, and cosmetic results were found to be satisfactory. Conclusions: mOZ craniotomy can be used to access and operate on recurrent orbital tumors in pediatric patients where other more aggressive surgical approaches should be avoided.<\/jats:p>","DOI":"10.3390\/medicina60081267","type":"journal-article","created":{"date-parts":[[2024,8,6]],"date-time":"2024-08-06T10:54:24Z","timestamp":1722941664000},"page":"1267","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Modified Orbitozygomatic Craniotomy Approach for a Recurrent Orbital Tumor in a Pediatric Patient"],"prefix":"10.3390","volume":"60","author":[{"given":"R\u00f3bert","family":"Chrenko","sequence":"first","affiliation":[{"name":"Department of Pediatric Neurosurgery, National Institute of Children\u2019s Diseases, Limbov\u00e1 1, 833 40 Bratislava, Slovakia"},{"name":"Faculty of Medicine, Slovak Medical University, Limbov\u00e1 12, 833 03 Bratislava, Slovakia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-8587-9163","authenticated-orcid":false,"given":"Be\u00e1ta","family":"Bu\u0161\u00e1nyov\u00e1","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Slovak Medical University, Limbov\u00e1 12, 833 03 Bratislava, Slovakia"},{"name":"Department of Pediatric Ophthalmology, National Institute of Children\u2019s Diseases, Limbov\u00e1 1, 833 40 Bratislava, Slovakia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anton","family":"Gerinec","sequence":"additional","affiliation":[{"name":"Department of Pediatric Ophthalmology, National Institute of Children\u2019s Diseases, Limbov\u00e1 1, 833 40 Bratislava, Slovakia"},{"name":"Faculty of Medicine, Comenius University, \u0160pit\u00e1lska 24, 813 72 Bratislava, Slovakia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dana","family":"Tom\u010d\u00edkov\u00e1","sequence":"additional","affiliation":[{"name":"Department of Pediatric Ophthalmology, National Institute of Children\u2019s Diseases, Limbov\u00e1 1, 833 40 Bratislava, Slovakia"},{"name":"Faculty of Medicine, Comenius University, \u0160pit\u00e1lska 24, 813 72 Bratislava, Slovakia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Boris","family":"R\u00fdchly","sequence":"additional","affiliation":[{"name":"Department of Pathology, Unilabs Slovensko, s.r.o., Polianky 7, 841 01 Bratislava, Slovakia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marek","family":"Grega","sequence":"additional","affiliation":[{"name":"Department of Pediatric Neurosurgery, National Institute of Children\u2019s Diseases, Limbov\u00e1 1, 833 40 Bratislava, Slovakia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6524-6517","authenticated-orcid":false,"given":"Martin","family":"Hanko","sequence":"additional","affiliation":[{"name":"Department of Pediatric Neurosurgery, National Institute of Children\u2019s Diseases, Limbov\u00e1 1, 833 40 Bratislava, Slovakia"},{"name":"Bory Hospital\u2014Penta Hospitals, Ivana Kadle\u010d\u00edka 2, 841 03 Bratislava, Slovakia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2724-3662","authenticated-orcid":false,"given":"Barbora","family":"Nedomov\u00e1","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Slovak Medical University, Limbov\u00e1 12, 833 03 Bratislava, Slovakia"},{"name":"Faculty of Medicine, Comenius University, \u0160pit\u00e1lska 24, 813 72 Bratislava, Slovakia"},{"name":"Department of Pediatric Anesthesiology and Intensive Medicine, National Institute of Children\u2019s Diseases, Limbov\u00e1 1, 833 40 Bratislava, Slovakia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,8,6]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"988","DOI":"10.12659\/MSM.890433","article-title":"Primary orbital tumors: A review of 122 cases during a 23-year period: A histo-clinical study in material from the ENT Department of the Medical University of Silesia","volume":"20","author":"Markowski","year":"2014","journal-title":"Med. Sci. Monit."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"3000605231218634","DOI":"10.1177\/03000605231218634","article-title":"Bilateral orbital dermoid cysts: A case report","volume":"51","author":"Lin","year":"2023","journal-title":"J. Int. Med. Res."},{"key":"ref_3","unstructured":"Murdock, N., Mahan, M., and Chou, E. (2024, May 07). Benign Orbital Tumors, StatPearls [Internet], Available online: https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK585125\/."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"570","DOI":"10.1007\/s002340050807","article-title":"Squamous cell carcinoma arising in an intradiploic epidermoid cyst","volume":"41","author":"Bretschneider","year":"1999","journal-title":"Neuroradiology"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1007\/3-211-32234-5_2","article-title":"Anatomy of the orbit and its surgical approach","volume":"31","author":"Hayek","year":"2006","journal-title":"Adv. Tech. Stand. Neurosurg."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"1094","DOI":"10.4103\/neuroindia.NI_726_17","article-title":"A neurosurgical perspective to approaches to the orbit: A cadaveric study","volume":"65","author":"Pai","year":"2017","journal-title":"Neurol. India"},{"key":"ref_7","first-page":"12","article-title":"\u2018Round-the-clock\u2019 surgical access to the orbit","volume":"76","author":"Paluzzi","year":"2015","journal-title":"J. Neurol. Surg. B Skull Base"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"940","DOI":"10.3171\/jns.2005.102.5.0940","article-title":"Modified osteoplastic orbitozygomatic craniotomy. Technical note [technical note]","volume":"102","author":"Balasingam","year":"2005","journal-title":"J. Neurosurg."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"146","DOI":"10.1177\/019459988509300202","article-title":"Facial nerve grading system","volume":"93","author":"House","year":"1985","journal-title":"Otolaryngol. Head Neck Surg."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"e449","DOI":"10.1016\/j.wneu.2018.07.181","article-title":"Orbital tumors: Report of 70 surgically treated cases","volume":"119","author":"Montano","year":"2018","journal-title":"World Neurosurg."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"101267","DOI":"10.1016\/j.jormas.2022.08.010","article-title":"Assessing effectiveness of endoscope-assisted medial orbital wall fracture repair vs. no surgery using benefit-risk metrics and literature review","volume":"124","author":"Witohendro","year":"2023","journal-title":"J. Stomatol. Oral Maxillofac. Surg."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"645","DOI":"10.1016\/j.jormas.2022.05.020","article-title":"Supramuscular upper blepharoplasty approach to orbital roof and\/or lower anterior table frontal sinus fractures: A meta-narrative review","volume":"123","author":"Meningaud","year":"2022","journal-title":"J. Stomatol. Oral. Maxillofac. Surg."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"385","DOI":"10.1055\/s-0040-1713941","article-title":"Surgical approaches to the orbit: A neurosurgical perspective","volume":"81","author":"Abussuud","year":"2020","journal-title":"J. Neurol. Surg. B Skull Base"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"345","DOI":"10.3171\/2009.5.PEDS09106","article-title":"Modified orbitozygomatic craniotomy for craniopharyngioma resection in children","volume":"4","author":"Golshani","year":"2009","journal-title":"J. Neurosurg. Pediatr."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"845","DOI":"10.1007\/s00381-007-0575-3","article-title":"Modified osteoplastic orbitozygomatic craniotomy in the pediatric population","volume":"24","author":"Miller","year":"2008","journal-title":"Child\u2019s Nerv. Syst."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"1545","DOI":"10.1016\/j.jocn.2012.01.032","article-title":"An anatomical analysis of the mini-mod\u00edfied orbitozygomatic and supra-orbital approaches","volume":"19","author":"Figueiredo","year":"2012","journal-title":"J. Clin. Neurosci."}],"container-title":["Medicina"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1648-9144\/60\/8\/1267\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T15:30:32Z","timestamp":1760110232000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1648-9144\/60\/8\/1267"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,8,6]]},"references-count":16,"journal-issue":{"issue":"8","published-online":{"date-parts":[[2024,8]]}},"alternative-id":["medicina60081267"],"URL":"https:\/\/doi.org\/10.3390\/medicina60081267","relation":{},"ISSN":["1648-9144"],"issn-type":[{"value":"1648-9144","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,8,6]]}}}