xRead - Nasal Obstruction (September 2024) Full Articles

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347

ICAR SINONASAL TUMORS

TABLE XXXI.B.2 (Continued)

Clinical endpoints

Study

Year LOE Study design Study groups

Conclusions

Ferrari et al. 220

1. 92.8% and 86.6% of patients at 5 and 10 years, respectively, who underwent orbital preservation surgery had functional eyes 2. Four patients in the preservation group ultimately required orbital exenteration for recurrence 3. Involvement of extraconal fat was predictive of worse orbital dysfunction-free survival rates Postoperative complications included local wound infection (2), CSF leak requiring reoperation (1), 1. SNOT-22: responses for nasal obstruction and need to blow nose ranged from “none” to “moderate” 2. NOSE: one patient had mild nasal obstruction and the second had moderate obstruction 3. Nasal endoscopy: Patent nasal cavities on postoperative endoscopy 1. 96% of patients with orbital preservation had a functional eye, while 4% had a nonfunctional eye 2. Enophthalmos (21), diplopia (9), and epiphora (7) were common sequelae 1. No new postoperative neurological deficits 2. Five patients (33%) had postoperative infections. 1. 11 out of 16 had no functional impairments 2. Functional impairments related to surgery included diplopia (2), globe malposition (3), and enophthalmos (2) 1. Three patients developed had large brain abscesses 2. One patient had epidural enhancement and neurologic symptoms 3. Three patients underwent free flap intracranial abscess requiring drainage (1), and intraorbital infection requiring orbital decompression (1)

1. Functional outcomes 2. Predictors of orbital

2021 4

Retrospective case series

123 patients with SNM: 76 underwent orbital preservation surgery

and 47 orbital exenteration

dysfunction free survival

Li et al. 164

2020 4

Retrospective case series

88 patients with

Postoperative

sinonasal tumors: 72 underwent surgery and radiation (seven orbital exenteration

complications

and 65 orbital preservation)

Rauchenwald et al. 2107

Postoperative 1. SNOT-22

2020 4

Retrospective case series

Two patients who

underwent orbital exenteration with free flap reconstruction

2. NOSE 3. Nasal

endoscopy

Turri-Zanoni et al. 165

2019 4

Retrospective case series

163 patients with

Postoperative functional outcomes

sinonasal tumors involving the orbit: 38 underwent orbital exenteration and 125 orbital preservation 15 patients with SNM involving the orbital

Sugawara et al. 166

1. New

2015 4

Retrospective case series

postoperative neurological deficits 2. Perioperative complications

apex treated with CFR and orbital exenteration

Rajapurkar et al. 511

2012 4

Retrospective case series

19 patients with SNM who underwent orbital preservation surgery

Postoperative functional outcomes

Spiegel and

Postoperative

2007 4

Retrospective case series

Four patients who

Varvares 2104

complications

underwent orbital exenteration and developed intracranial complications

obliteration of the orbital cavity with subsequent resolution of symptoms Abbreviations: CRF, craniofacial resection; NOSE, Nasal Obstruction Symptom Evaluation; RT, radiation therapy; SNM, sinonasal malignancy; SNOT, Sino-Nasal Outcome Test.