Swinging Upper Eyelid Incision for a Lacrimal Gland Tumor

Approaches to the superior lateral quadrant include lateral orbitotomy incisions and sometimes even transcranial incisions. Dr. Richard Allen demonstrates his preferred technique of a swinging upper eyelid incision, especially for large extraconal tumors of the superior lateral quadrant which are usually lacrimal gland tumors. This approach gives wide exposure to this quadrant with a small external lateral canthotomy incision, which is analogous to a lower swinging eyelid incision.

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