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BRIEF COMMUNICATION
Year : 2015  |  Volume : 63  |  Issue : 9  |  Page : 746-749

Orbital apex osteodural fistula - An unusual surgical access


1 Department of Ophthalmology, Indian Naval Hospital Ship Asvini, Mumbai, Maharashtra, India
2 Department of Interventional Radiology, Indian Naval Hospital Ship Asvini, Mumbai, Maharashtra, India

Correspondence Address:
Dr. Hemant Trehan
Eye Department, Indian Naval Hospital Ship Asvini, 6th Floor, Near R.C. Church, Colaba, Mumbai - 400 005, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0301-4738.170972

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Dural arteriovenous fistulas (DAVFs) are fistulas connecting the branches of dural arteries to dural veins or a venous sinus. Osteodural fistulas are a rare subset of this group of diseases. We wish to report a rare case of an osteodural arteriovenous fistula at the foot of the superior ophthalmic vein (SOV), treatment of which required an unusual surgical approach via the orbit and SOV. Though access for endovascular treatment via the SOV for treatment of caroticocavernous fistulas is reported, the external approach is relatively infrequently performed, outside Europe and the Americas, with this being the first reported procedure from the Indian subcontinent. We wish to explain the steps of this unusual surgical access and highlight the salient precautions and pitfalls in the technique.


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