Preservation of the Eye in Paranasal Sinus Cancer Surgery

Perry, Christopher; Levine, Paul A.; Williamson, Brian R. J.; Cantrell, Robert W.

doi:10.1001/archotol.1988.01860180046027

Cited by 114 publications

(54 citation statements)

References 7 publications

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“…Because of the attachment of the mucosa to bone and cartilage, pathologists have difficulties analyzing the specimens of frozen sections. 10,30 Shah et al 1 made frozen sections and found the same local recurrence rates in patients with positive and negative surgical margins.…”

Section: Discussionmentioning

confidence: 95%

Results of endoscopic resection followed by radiotherapy for primarily diagnosed adenocarcinomas of the paranasal sinuses

et al. 2008

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Section: Discussionmentioning

confidence: 95%

Results of endoscopic resection followed by radiotherapy for primarily diagnosed adenocarcinomas of the paranasal sinuses

et al. 2008

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“…[10][11][12][13][14][15][16][17][18][19] The evolution of treatment has been toward orbital preservation. Sisson in 1970 was one of the first to advocate orbital preservation, recommending preoperative radiation therapy followed by intraoperative evaluation.…”

Section: Discussionmentioning

confidence: 99%

“…16 In this study, if the tumor could be peeled from the periorbita, the eye was saved; if the periorbita was only minimally involved, it was locally resected with frozen-section control. Using this algorithm, they reported that preservation of the orbit did not alter local control or OS.…”

mentioning

confidence: 99%

Orbital Preservation in Patients with Esthesioneuroblastoma

Gray¹,

Curry²,

Barker³

et al. 2009

Skull Base

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“…However, they pronounce that it is a reasonable option in cases with limited orbital fat invasion in order to reducing tumor mass prior to surgery. Recently, some authors have promoted orbital preservation in cases with limited soft tissue orbital invasion by resecting the invaded periorbita and using histological frozen section control to achieve negative margins [23,24].…”

Section: Orbital Preservation In Malignant Tumorsmentioning

confidence: 99%

Endonasal Endoscopic Approach for Primary and Secondary Orbital Lesions

Garcia¹,

Pérez²,

Perdomo³

et al. 2017

J Clin Exp Ophthalmol

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Purpose: To describe the results of endonasal endoscopic resection for primary and secondary orbital lesions.Design: A retrospective cohort study was performed. Subjects:The clinical data of patients with primary and secondary orbital tumors who received treatment with endonasal endoscopic surgery from Agost 2016 to July 2017 in the Department of Head and Neck Surgery of the National Institute of Oncology and Radiobiology (Cuba) were analysed.Intervention: All surgeries were performed by using Karl Storz 00, 450 and 700, 4 mm diameter; 18 cm rod-lens rigid telescopes (Karl Storz and Co, Tuttlingen, Germany). Endonasal endoscopic transethmoidal route was the primary approach, and according to the tumor size, histology and location, a transantral route was aggregate. Main outcome measures:Demographic data, histology nature of the lesions, clinical presentation, surgical route, frozen section margins and complications relative to treatment were obtained. Grade of resection was measured.Results: From total of 12 patients that were interview, 7 were male and 5 female. Age range was 20-70 years and a mean age of 50.2 years. According to nature of the lesions, seven patients have malignant neoplasm and three patients have non-neoplasic disorders. Transethmoidal route was performed in 4 patients and transethmoidal/ transantral in 8 patients. Total resection was achieved in 11 patients (92%). Frozen section margins were negative in all patients. All patients experienced complete resolution of the presenting symptoms with no evidence of optic nerve injury. Two patients presented transient ophtalmoparesis. Conclusion:Endonasal endoscopic surgery is a safe, successful and minimally invasive technique for resecting extra-intraconal primary and secondary orbital tumors; especially those arise posterior to the ocular glove and inferomedially of optic nerve. There are some important key points to take account in order to prevent complications.

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Preservation of the Eye in Paranasal Sinus Cancer Surgery

Cited by 114 publications

References 7 publications

Results of endoscopic resection followed by radiotherapy for primarily diagnosed adenocarcinomas of the paranasal sinuses

Results of endoscopic resection followed by radiotherapy for primarily diagnosed adenocarcinomas of the paranasal sinuses

Orbital Preservation in Patients with Esthesioneuroblastoma

Endonasal Endoscopic Approach for Primary and Secondary Orbital Lesions

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