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Endoscopic-assisted transorbital extended orbital exenteration: A multi-institutional preclinical study.
Roccuzzo, Giuseppe; Vyskocil, Erich; Hirtler, Lena; Kandathil, Sam Augustine; Peris-Celda, Maria; Agosti, Edoardo; Kuan, Edward C; Wang, Eric W; Leong, Samuel; Sharma, Rishi; Borsetto, Daniele; Herman, Philippe; Vinciguerra, Alessandro; Verillaud, Benjamin; Bresson, Damien; Taboni, Stefano; Erovic, Boban M; Vural, Alperen; Dallan, Iacopo; Doglietto, Francesco; Schreiber, Alberto; Mattavelli, Davide; Rampinelli, Vittorio; Arosio, Alberto Daniele; Battaglia, Paolo; Valentini, Marco; Turri-Zanoni, Mario; Pozzi, Fabio; Volpi, Luca; Bignami, Maurizio; Castelnuovo, Paolo; Nicolai, Piero; Ferrari, Marco.
Afiliación
  • Roccuzzo G; Otolaryngology Section, Department of Neurosciences DNS, University of Padova, Padova, Italy.
  • Vyskocil E; Unit of Otorhinolaryngology - Head and Neck Surgery, Azienda Ospedale-Università Padova, Padova, Italy.
  • Hirtler L; Department of Otorhinolaryngology, General Hospital and Medical University of Vienna, Vienna, Austria.
  • Kandathil SA; Division of Anatomy, Center for Anatomy and Cell Biology, Medical University of Vienna, Vienna, Austria.
  • Peris-Celda M; Department of Otorhinolaryngology, General Hospital and Medical University of Vienna, Vienna, Austria.
  • Agosti E; Division of Anatomy, Center for Anatomy and Cell Biology, Medical University of Vienna, Vienna, Austria.
  • Kuan EC; Division of Anatomy, Center for Anatomy and Cell Biology, Medical University of Vienna, Vienna, Austria.
  • Wang EW; Department of Neurosurgery, Mayo Clinic, Rochester, Minnesota, USA.
  • Leong S; Division of Neurosurgery, Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, Brescia, Italy.
  • Sharma R; Department of Otolaryngology - Head & Neck Surgery, University of California Irvine, Irvine, California, USA.
  • Borsetto D; Department of Otolaryngology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
  • Herman P; Department of Ear, Nose and Throat, Liverpool University Hospitals NHS Foundation Trust, Liverpool, UK.
  • Vinciguerra A; Department of Otolaryngology, Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.
  • Verillaud B; Department of Otolaryngology, Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.
  • Bresson D; Otorhinolaryngology and Skull Base Center, Hôpital Lariboisière, Assistance Publique-Hôpitaux de Paris, Université Paris Cité, Paris, France.
  • Taboni S; Otorhinolaryngology and Skull Base Center, Hôpital Lariboisière, Assistance Publique-Hôpitaux de Paris, Université Paris Cité, Paris, France.
  • Erovic BM; Otorhinolaryngology and Skull Base Center, Hôpital Lariboisière, Assistance Publique-Hôpitaux de Paris, Université Paris Cité, Paris, France.
  • Vural A; Department of Neurosurgery, Hôpital Lariboisière, Assistance Publique - Hôpitaux de Paris, Université Paris Cité, Paris, France.
  • Dallan I; Otolaryngology Section, Department of Neurosciences DNS, University of Padova, Padova, Italy.
  • Doglietto F; Unit of Otorhinolaryngology - Head and Neck Surgery, Azienda Ospedale-Università Padova, Padova, Italy.
  • Schreiber A; Institute of Head and Neck Diseases, Evangelical Hospital, Vienna, Austria.
  • Mattavelli D; Department of Otorhinolaryngology, Istanbul University Cerrahpasa - Cerrahpasa Medical Faculty, Istanbul, Turkey.
  • Rampinelli V; Department of Otolaryngology - Head and Neck Surgery, Azienda Ospedaliero-Universitaria Pisana, Pisa, Italy.
  • Arosio AD; Institute of Neurosurgery, Catholic University School of Medicine, Rome, Italy.
  • Battaglia P; Unit of Otorhinolaryngology - Head and Neck Surgery, Department of Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, Brescia, Italy.
  • Valentini M; Unit of Otorhinolaryngology - Head and Neck Surgery, Department of Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, Brescia, Italy.
  • Turri-Zanoni M; Unit of Otorhinolaryngology - Head and Neck Surgery, Department of Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, Brescia, Italy.
  • Pozzi F; Division of Otorhinolaryngology, Department of Biotechnology and Life Sciences, University of Insubria-Varese, ASST Sette Laghi, Ospedale di Circolo, Varese, Italy.
  • Volpi L; Division of Otorhinolaryngology, Department of Biotechnology and Life Sciences, University of Insubria-Varese, ASST Sette Laghi, Ospedale di Circolo, Varese, Italy.
  • Bignami M; Division of Otorhinolaryngology, Department of Biotechnology and Life Sciences, University of Insubria-Varese, ASST Sette Laghi, Ospedale di Circolo, Varese, Italy.
  • Castelnuovo P; Division of Otorhinolaryngology, Department of Biotechnology and Life Sciences, University of Insubria-Varese, ASST Sette Laghi, Ospedale di Circolo, Varese, Italy.
  • Nicolai P; Department of Neurosurgery, ASST Sette Laghi, Ospedale di Circolo Fondazione Macchi, Varese, Italy.
  • Ferrari M; Department of Otolaryngology - Head and Neck Surgery, ASST Lariana, Ospedale Sant'Anna, University of Insubria, Como, Italy.
Head Neck ; 2024 Jul 03.
Article en En | MEDLINE | ID: mdl-38958177
ABSTRACT

BACKGROUND:

Sinonasal malignancies with orbital invasion have dismal prognosis even when treated with orbital exenteration (OE). Sugawara et al. developed a surgical strategy called "extended-OE (EOE)," showing encouraging outcomes. We hypothesized that a similar resection is achievable under endoscopic guidance through the exenterated orbit (endoscopic-EOE).

METHODS:

The study was conducted in three institutions University of Vienna; Mayo Clinic; University of Insubria; 48 orbital dissections were performed. A questionnaire was developed to evaluate feasibility and safety of each step, scoring from 1 to 10, ("impossible" to "easy," and "high risk" to "low risk," respectively), most likely complication(s) were hypothesized.

RESULTS:

The step-by-step technique is thoroughly described. The questionnaire was answered by 25 anterior skull base surgeons from six countries. Mean, median, range, and interquartile range of both feasibility and safety scores are reported.

CONCLUSIONS:

Endoscopic-EOE is a challenging but feasible procedure. Clinical validation is required to assess real-life outcomes.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Head Neck Asunto de la revista: NEOPLASIAS Año: 2024 Tipo del documento: Article País de afiliación: Italia
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Head Neck Asunto de la revista: NEOPLASIAS Año: 2024 Tipo del documento: Article País de afiliación: Italia