Orbital resection by intranasal technique (ORBIT): A new classification system for reporting endoscopically resectable primary benign orbital tumors.

Autor: Jafari A; Department of Otolaryngology-Head & Neck Surgery, University of Washington, Seattle, Washington, USA., Adappa ND; Department of Otorhinolaryngology-Head and Neck Surgery, University of Pennsylvania School of Medicine, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA., Anagnos VJ; Department of Otorhinolaryngology-Head and Neck Surgery, University of Pennsylvania School of Medicine, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA., Campbell RG; Faculty of Medicine and Health Science, Macquarie University, Sydney, New South Wales, Australia.; Department of Otorhinolaryngology, Head and Neck Surgery, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia., Castelnuovo P; Unit of Otorhinolaryngology, Department of Biotechnology and Life Sciences, University of Insubria, Ospedale di Circolo e Fondazione Macchi, Varese, Italy., Chalian A; Department of Otorhinolaryngology-Head and Neck Surgery, University of Pennsylvania School of Medicine, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA., Chambers CB; Department of Ophthalmology, University of Washington, Seattle, Washington, USA., Chitguppi C; Department of Otolaryngology-Head & Neck Surgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA., Dallan I; Ear, Nose, Throat (ENT) Unit, Azienda Ospedaliera Universitaria Pisana, Pisa, Italy., El Rassi E; Department of Otolaryngology-Head & Neck Surgery, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, USA., Freitag SK; Ophthalmic Plastic Surgery Service, Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, Massachusetts, USA., Fernandez Miranda JC; Department of Neurosurgery, Stanford University, Palo Alto, California, USA., Ferreira M Jr; Department of Neurosurgery, University of Washington, Seattle, Washington, USA., Gardner PA; Department of Neurological Surgery, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA., Gudis DA; Department of Otolaryngology-Head & Neck Surgery, Columbia University Irving Medical Center, New York, New York, USA., Harvey RJ; Faculty of Medicine and Health Science, Macquarie University, Sydney, New South Wales, Australia.; Rhinology and Skull Base Research Group, Applied Medical Research Centre, University of New South Wales, Sydney, Australia., Huang Q; Department of Otolaryngology-Head & Neck Surgery, Beijing Tongren Hospital, Capital Medical University, Key Laboratory of Otolaryngology-Head & Neck Surgery, Ministry of Education, Beijing, China., Humphreys IM; Department of Otolaryngology-Head & Neck Surgery, University of Washington, Seattle, Washington, USA., Kennedy DW; Department of Otorhinolaryngology-Head and Neck Surgery, University of Pennsylvania School of Medicine, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA., Lee JYK; Department of Neurosurgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA., Lehmann AE; Department of Otolaryngology-Head & Neck Surgery, Geisinger Medical Center, Danville, Pennsylvania, USA., Locatelli D; Division of Neurosurgery, Department of Biotechnology and Life Sciences, Ospedale Di Circolo E Fondazione Macchi, University of Insubria, Varese, Italy., McKinney KA; Department of Otolaryngology-Head & Neck Surgery, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, USA., Moreau A; Department of Ophthalmology, University of Oklahoma, Oklahoma City, Oklahoma, USA., Nyquist G; Department of Ophthalmology, University of Washington, Seattle, Washington, USA., Palmer JN; Department of Otorhinolaryngology-Head and Neck Surgery, University of Pennsylvania School of Medicine, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA., Prepageran N; Department of Otorhinolaryngology, Faculty of Medicine, Universiti Malaya, Jalan Universiti, Wilayah Persekutuan, Kuala Lumpur, Malaysia., Pribitkin EA; Department of Ophthalmology, University of Washington, Seattle, Washington, USA., Rabinowitz MR; Department of Ophthalmology, University of Washington, Seattle, Washington, USA., Rosen MR; Department of Ophthalmology, University of Washington, Seattle, Washington, USA., Sacks R; Faculty of Medicine and Health Science, Macquarie University, Sydney, New South Wales, Australia.; Department of Otolaryngology-Head & Neck Surgery, Concord General Hospital, University of Sydney, Sydney, Australia., Sharma D; Department of Otolaryngology-Head & Neck Surgery, University of Washington, Seattle, Washington, USA., Snyderman CH; Department of Otolaryngology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA., Tonya Stefko S; Department of Otolaryngology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA., Stokken JK; Department of Otolaryngology-Head & Neck Surgery, Mayo Clinic School of Medicine, Rochester, Minnesota, USA., Wang EW; Department of Otolaryngology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA., Workman AD; Department of Otolaryngology-Head & Neck Surgery, Massachusetts Eye and Ear, Harvard Medical School, Boston, Massachusetts, USA., Wu AW; Department of Otolaryngology, Cedars-Sinai Medical Center, Los Angeles, California, USA., Yu JY; Department of Otolaryngology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA., Zhang MM; Department of Ophthalmology, University of Washington, Seattle, Washington, USA., Zhou B; Department of Otolaryngology-Head & Neck Surgery, Beijing Tongren Hospital, Capital Medical University, Key Laboratory of Otolaryngology-Head & Neck Surgery, Ministry of Education, Beijing, China., Bleier BS; Department of Otolaryngology-Head & Neck Surgery, Massachusetts Eye and Ear, Harvard Medical School, Boston, Massachusetts, USA.
Jazyk: angličtina
Zdroj: International forum of allergy & rhinology [Int Forum Allergy Rhinol] 2023 Oct; Vol. 13 (10), pp. 1852-1863. Date of Electronic Publication: 2023 Mar 02.
DOI: 10.1002/alr.23141
Abstrakt: Background: The Cavernous Hemangioma Exclusively Endonasal Resection (CHEER) staging system has become the gold standard for outcomes reporting in endoscopic orbital surgery for orbital cavernous hemangiomas (OCHs). A recent systematic review demonstrated similar outcomes between OCHs and other primary benign orbital tumors (PBOTs). Therefore, we hypothesized that a simplified and more comprehensive classification system could be developed to predict surgical outcomes of other PBOTs.
Methods: Patient and tumor characteristics as well as surgical outcomes from 11 international centers were recorded. All tumors were retrospectively assigned an Orbital Resection by Intranasal Technique (ORBIT) class and stratified based on surgical approach as either exclusively endoscopic or combined (endoscopic and open). Outcomes based on approach were compared using chi-squared or Fisher's exact tests. The Cochrane-Armitage test for trend was used to analyze outcomes by class.
Results: Findings from 110 PBOTs from 110 patients (age 49.0 ± 15.0 years, 51.9% female) were included in the analysis. Higher ORBIT class was associated with a lower likelihood of gross total resection (GTR). GTR was more likely to be achieved when an exclusively endoscopic approach was utilized (p < 0.05). Tumors resected using a combined approach tended to be larger, to present with diplopia, and to have an immediate postoperative cranial nerve palsy (p < 0.05).
Conclusion: Endoscopic treatment of PBOTs is an effective approach, with favorable short-term and long-term postoperative outcomes as well as low rate of adverse events. The ORBIT classification system is an anatomic-based framework that effectively facilitates high-quality outcomes reporting for all PBOTs.
(© 2023 ARS-AAOA, LLC.)
Databáze: MEDLINE
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