xRead - Nasal Obstruction (September 2024) Full Articles

20426984, 0, Downloaded from https://onlinelibrary.wiley.com/doi/10.1002/alr.23262, Wiley Online Library on [02/01/2024]. See the Terms and Conditions (https://onlinelibrary.wiley.com/terms-and-conditions) on Wiley Online Library for rules of use; OA articles are governed by the applicable Creative Commons License

173

ICAR SINONASAL TUMORS

TABLE XIX.A.2 Evidence surrounding tumor resection for benign orbital lesion and associated complications.

Study endpoints

Study

Year LOE Study design Study group

Conclusion

Most outcomes assessed did not appear affected by orbital reconstruction status

1. Extent of resection 2. Postoperative complica tions 3. Postoperative clinical outcomes 4. Recurrence 1. Extent of resection 2. Postoperative clinical outcomes 3. Recurrence

Patients with benign orbital tumors resected via EEA across 24 studies ( n = 60)

Lehmann et al. 940

2022 2

Systematic

reviewand meta analysis

Jafari et al. 915

2021

2

Systematic

Patients with benign orbital tumors resected via EEA

1. Improved outcomes and safety of benign orbital tumor treatment were observed with endoscopic resection relative to external approaches 2. The CHEER anatomic-based framework can potentially be broadened beyond OCHs to all benign orbital tumors 1. Endoscopic treatment of primary orbital tumors is a safe and effective approach, with favorable short- and long-term postoperative outcomes 2. The ORBIT classification system is a simplified anatomic-based framework that may effectively facilitate high-quality outcomes reporting for all primary orbital tumors Resection of orbital schwannomas using an endoscopic endonasal approach with small incision medial transorbital assistance is a safe and effective option for a multidisciplinary surgical team endoscopic visualization can be safe and efficient in patients with select orbital intraconal tumors Selection of the approach based on a concept of a four-zone model with its epicenter around the optic nerve successfully provides a minimally invasive 360 ◦ circumferential access to the entire orbit The minimally invasive 360 ◦ surgical approach with full

reviewand meta analysis

across 36 studies and retroactively staged

via the CHEER system( n = 105)

Jafari et al. 912

1. Extent of resection 2. Postoperative clinical outcomes 3. Recurrence

2022 4

Retrospective case series

Patients who

underwent EEA for resection of primary orbital tumors and were retroactively classified via the ORBIT system ( n = 110)

Pennington et al. 916

2021

4

Retrospective case series

Patients with

1. Extent of resection 2. Postoperative visual outcomes 1. Postoperative complications 2. Postoperative visual outcomes 1. Postoperative visual outcomes 2. Postoperative complications 3. Need for adjuvant therapy

symptomatic orbital schwannoma resected via endoscopic transorbital-assisted approach ( n = 3) Patients with orbital intraconal tumors treated via EEA or anterior endoscopic orbitotomy ( n = 22)

Caballero Garcia et al. 921

2021

4

Retrospective case series

Jeonet al. 356

2021

4

Retrospective case series

Patients with intra and extraconal orbital tumors treated via

transorbital superior eyelid approach or EEA( n = 16)

(Continues)