Orbital pathology represents a unique entity because is located in a border region that requires neurosurgery, ophthalmology and oncology collaboration. The modern surgery includes the orbital surgery and skull base surgery.
Material and methods: This study presents neurosurgical approaches in 17 cases of orbital pathology in a period of 4 years in the Neurosurgery Department of Emergency Hospital "Prof. Dr. N. Oblu" laşi. In most cases our team performed a fronto-temporal and pterional approach with orbital roof resection and tumor abl ation. In our study there were 10 women (58.8%) and only 7 men (41.1%). 16 patients presented with exophthalmia, head each (8 patients), diplopia (3 patients), amblyopia (4 patients), ptosis (1 patients), rinoreea (1 patients) and nerveVIl paresis (2 patients).
Results: Postoperative there were remissions of exophthalmia and the other symptoms and there were not registered any complications.
Conclusions: However the technique and cranial approach can be evaluated on case-by-case situation and depends on the location and extension of the lesion. The goals were patient safety, symptoms remission and tumor removal.