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Endoscopic Endonasal Intraconal Approach for Orbital Tumor Resection: Case Series and Systematic Review

Intraorbital tumor could be approached by numerous surgical methods. The neuroendoscopic endonasal approach could provide a feasible corridor for indicated tumors. Herein we present a series of 6 consecutive intraorbital tumors from April 2018 to October 2020, which received endonasal endoscopic res...

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Autores principales: Zhang, Xin, Hua, Wei, Quan, Kai, Yu, Guo, Du, Zunguo, Yang, Zixiao, Wang, Xiaowen, Song, Jianping, Chen, Liang, Zhu, Wei
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8761671/
https://www.ncbi.nlm.nih.gov/pubmed/35047399
http://dx.doi.org/10.3389/fonc.2021.780551
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author Zhang, Xin
Hua, Wei
Quan, Kai
Yu, Guo
Du, Zunguo
Yang, Zixiao
Wang, Xiaowen
Song, Jianping
Chen, Liang
Zhu, Wei
author_facet Zhang, Xin
Hua, Wei
Quan, Kai
Yu, Guo
Du, Zunguo
Yang, Zixiao
Wang, Xiaowen
Song, Jianping
Chen, Liang
Zhu, Wei
author_sort Zhang, Xin
collection PubMed
description Intraorbital tumor could be approached by numerous surgical methods. The neuroendoscopic endonasal approach could provide a feasible corridor for indicated tumors. Herein we present a series of 6 consecutive intraorbital tumors from April 2018 to October 2020, which received endonasal endoscopic resection. Cadaveric dissection was performed for the intraconal approach, and the literature was also reviewed. Five tumors were located intraconally, while one extraconally. The pathology revealed 1 angioleiomyoma, 1 cavernous hemangioma, 1 pilocytic astrocytoma, 1 meningioma, and 2 schwannomas. Five of the six achieved gross total resection, including 3 tumors with lateral extension beyond the optic nerve. Preoperative visual deterioration was observed in 4 of the 6 patients, and all got improvement postoperatively. Transient oculomotor nerve palsy was presented in one patient postoperatively. No cerebrospinal fluid leakage, enophthalmos, or strabismus was observed. The median follow-up time is 27 months (11~41 months). At the 6-month follow-up, the visual acuity remained unchanged compared with that at discharge. Proptosis was resolved in 2 of the 3 patients; diplopia was improved in one patient. In conclusion, endoscopic endonasal intraconal approach could be suitable for selected pathological conditions, and for both medial or beyond medial extraconal and intraconal orbital tumors.
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spelling pubmed-87616712022-01-18 Endoscopic Endonasal Intraconal Approach for Orbital Tumor Resection: Case Series and Systematic Review Zhang, Xin Hua, Wei Quan, Kai Yu, Guo Du, Zunguo Yang, Zixiao Wang, Xiaowen Song, Jianping Chen, Liang Zhu, Wei Front Oncol Oncology Intraorbital tumor could be approached by numerous surgical methods. The neuroendoscopic endonasal approach could provide a feasible corridor for indicated tumors. Herein we present a series of 6 consecutive intraorbital tumors from April 2018 to October 2020, which received endonasal endoscopic resection. Cadaveric dissection was performed for the intraconal approach, and the literature was also reviewed. Five tumors were located intraconally, while one extraconally. The pathology revealed 1 angioleiomyoma, 1 cavernous hemangioma, 1 pilocytic astrocytoma, 1 meningioma, and 2 schwannomas. Five of the six achieved gross total resection, including 3 tumors with lateral extension beyond the optic nerve. Preoperative visual deterioration was observed in 4 of the 6 patients, and all got improvement postoperatively. Transient oculomotor nerve palsy was presented in one patient postoperatively. No cerebrospinal fluid leakage, enophthalmos, or strabismus was observed. The median follow-up time is 27 months (11~41 months). At the 6-month follow-up, the visual acuity remained unchanged compared with that at discharge. Proptosis was resolved in 2 of the 3 patients; diplopia was improved in one patient. In conclusion, endoscopic endonasal intraconal approach could be suitable for selected pathological conditions, and for both medial or beyond medial extraconal and intraconal orbital tumors. Frontiers Media S.A. 2022-01-03 /pmc/articles/PMC8761671/ /pubmed/35047399 http://dx.doi.org/10.3389/fonc.2021.780551 Text en Copyright © 2022 Zhang, Hua, Quan, Yu, Du, Yang, Wang, Song, Chen and Zhu https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Oncology
Zhang, Xin
Hua, Wei
Quan, Kai
Yu, Guo
Du, Zunguo
Yang, Zixiao
Wang, Xiaowen
Song, Jianping
Chen, Liang
Zhu, Wei
Endoscopic Endonasal Intraconal Approach for Orbital Tumor Resection: Case Series and Systematic Review
title Endoscopic Endonasal Intraconal Approach for Orbital Tumor Resection: Case Series and Systematic Review
title_full Endoscopic Endonasal Intraconal Approach for Orbital Tumor Resection: Case Series and Systematic Review
title_fullStr Endoscopic Endonasal Intraconal Approach for Orbital Tumor Resection: Case Series and Systematic Review
title_full_unstemmed Endoscopic Endonasal Intraconal Approach for Orbital Tumor Resection: Case Series and Systematic Review
title_short Endoscopic Endonasal Intraconal Approach for Orbital Tumor Resection: Case Series and Systematic Review
title_sort endoscopic endonasal intraconal approach for orbital tumor resection: case series and systematic review
topic Oncology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8761671/
https://www.ncbi.nlm.nih.gov/pubmed/35047399
http://dx.doi.org/10.3389/fonc.2021.780551
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