Endoscopic-assisted transorbital extended orbital exenteration: A multi-institutional preclinical study.
Head Neck
; 46(9): 2327-2339, 2024 09.
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.Palabras clave
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Estudios de Factibilidad
/
Evisceración Orbitaria
/
Endoscopía
Límite:
Female
/
Humans
/
Male
Idioma:
En
Revista:
Head & neck
/
Head Neck
/
Head neck
Asunto de la revista:
NEOPLASIAS
Año:
2024
Tipo del documento:
Article
País de afiliación:
Italia