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November 17, 1945


JAMA. 1945;129(12):777-784. doi:10.1001/jama.1945.02860460001001

The diagnosis of orbital tumors is at times very difficult and the decision as to the best surgical approach to tumors situated within the orbit is often even more difficult. When there is no question of intracranial extension, tumors in the anterior portion of the orbit can be treated quite satisfactorily by the ophthalmic surgeon through an anterior orbital approach. However, since many posterior orbital tumors have an intracranial component, as pointed out by Dandy1 in his monograph, since the prime purpose of the surgical treatment of intraorbital tumors is to conserve vision and to have as nearly normal function of the eye as possible, and since the transcranial approach to such tumors through the roof of the orbit gives maximal exposure and direct visualization of the structures within the posterior part of the orbit and permits at the same time the removal of any intracranial extension of the