Endoscopic-assisted transorbital extended orbital exenteration: A multi-institutional preclinical study.
Head Neck
; 46(9): 2327-2339, 2024 Sep.
Article
em 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.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Estudos de Viabilidade
/
Exenteração Orbitária
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Endoscopia
Limite:
Female
/
Humans
/
Male
Idioma:
En
Revista:
Head Neck
Assunto da revista:
NEOPLASIAS
Ano de publicação:
2024
Tipo de documento:
Article
País de afiliação:
Itália