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Intraoperative photographs demonstrating a) lid crease incision and retraction of orbital contents using a malleable retractor. The anterior portion of the lesion (cholesterol granuloma - arrow) can be removed under direct visualization. b) Introduction of endoscope beneath the superior orbital rim (arrowhead) and c) curettage of the lesion with endoscopic visualization. Endoscopic visualization of the dura (arrowhead) allows safe removal of the entire lesion (arrowsuperior orbital rim) |
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