Vertical lid split orbitotomy revisited

Purpose: To report the results of anterior orbitotomy through a vertical tr ansmarginal upper eyelid incision for gaining access to superonasal intraor bital lesions. Methods: Retrospective case series of 13 patients presenting with superonas al intraorbital lesions. Results: Vertical transmarginal upper eyelid incision allowed biopsy or rem oval of orbital lesions in all cases with satisfactory postoperative cosmes is and function. Conclusion: The vertical lid split orbitotomy, initially described for ante rior orbital lesions, also is useful for exposure and removal of deeper int raconal orbital masses.