xRead - Nasal Obstruction (September 2024) Full Articles

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KUANetal.

TABLE XIX.A.2 (Continued)

Study endpoints

Study

Year LOE Study design Study group

Conclusion

Mazaet al. 922

Transnasal endoscopic optic nerve decompression could be a viable initial treatment modality of select primary optic nerve sheath meningiomas

Postoperative visual outcomes

2019 4

Retrospective case series

Patients with optic nerve sheath meningiomas undergoing transnasal endoscopic optic nerve decompression ( n = 4)

Castelnuovo et al. 935

2019 4

Case report

Patients with intraconal cavernous

Postoperative visual outcomes

1. Cryoprobes represent an adjunctive tool in the orbital surgeon’s armamentarium useful in extracting fluid-filled intraorbital lesions 2. Their use may ease the removal of intraconal hemangiomas with an exclusively transnasal approach The described nasoseptal flap modification provides excellent coverage for reconstructing large anterior skull base defects and simultaneous medial orbital wall defects 1. EEA should be used for primary orbital tumors located in the medial or inferior orbital walls without extra-orbital extension 2. The trans-eyelid approach should be used for extraconal tumors located in the upper and upper-lateral quadrants 3. The fronto-orbital approach should be used for

hemangioma treated via cryoprobe-assisted

transnasal endoscopic resection ( n = 2) simultaneous skull base and medial orbital wall defects undergoing modified nasoseptal flap reconstruction ( n = 3) Patients with orbital tumors treated via fronto-orbital craniotomy, frontal approach, fronto orbit-zygomatic approach, and EEA ( n = 70) Patients with

McCormick et al. 938

1. Postoperative CSF leak 2. Orbital edema 3. Postoperative cosmesis 1. Extent of resection 2. Postoperative clinical outcomes 3. Postoperative complications

2019 4

Retrospective case series

Montano et al. 919

2018 4

Retrospective case series

intraconal-located tumors involving more than one quadrant

Peron et al. 924

In selected cases, the endoscopic approach allows complete removal of spheno-orbital meningiomas with a low rate of complications

1. Extent of resection 2. Postoperative complications

2017 4

Retrospective case series

Patients with

spheno-orbital meningiomas treated via open, endoscopic, or combined open/endoscopic approach ( n = 30)

Abbreviation: EEA, endoscopic endonasal approach.

A comprehensive meta-analysis that included 105 pri mary benign orbital lesions resected exclusively by endo scopic approach found that 61.9% of tumors were intra conal. The leading presenting symptoms were decreased visual acuity, visual field defect, proptosis, diplopia, color

vision deficit, and pain. GTR was achieved in 76.2% of cases, and only 2.9% of cases had tumor recurrence. After 24 months of follow-up, 95.5%, 98.3%, and 100% of the patients had improved/stable visual symptoms, resolved diplopia, and no pain symptoms, respectively.