Surgical Treatment of Recurrent Spheno- Orbital Meningioma
| Autor: | Zhilin Guo, Zhihua Cheng, Shijun Peng |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Male
medicine.medical_specialty Sphenoid wing Resection Meningioma Surgical removal Sphenoid Bone Meningeal Neoplasms medicine Exophthalmos Humans Surgical treatment Retrospective Studies Diplopia business.industry General Medicine Middle Aged Hyperplasia medicine.disease Surgery Tumor recurrence Treatment Outcome Otorhinolaryngology Orbital Neoplasms Female Neoplasm Recurrence Local medicine.symptom business |
| Zdroj: | Journal of Craniofacial Surgery. 33:901-905 |
| ISSN: | 1536-3732 1049-2275 |
| DOI: | 10.1097/scs.0000000000008346 |
| Popis: | OBJECTIVE The extensive bone infiltration and carpet-like growth characteristics of spheno-orbital meningioma (SOM) make it hard to remove entirely, and recurrence and proptosis are the main reasons for reoperation. The authors report 20 cases of surgical treatment for recurrence of SOM, including surgical technique and symptom improvement. METHODS The clinical data and follow-up results of 20 cases of recurrent SOM at our institution from 2000 to 2017 were retrospectively analyzed. RESULTS All of the 20 patients with recurrence had received at least one operation before admission, with a mean age of 56 years and 70% female. The mean follow-up time was 36 months (1-72 months). All patients mainly showed symptoms such as proptosis and headache, and were found to be affected by supraorbital fissure during the operation. In 17 patients with recurrence, the affected sphenoid wing became tumor-like hyperplasia. Patients with extraocular muscle involvement have obvious protrusion and are often accompanied by diplopia. After surgical removal of the tumor, the symptoms of proptosis in 19 patients were significantly improved. During the follow-up, only 3 cases of proptosis recurred. After 15 patients underwent Simpson grade IV resection, 4 patients (27%) relapsed again. Five patients underwent Simpson III resection, and only 1 patient (20%) had tumor recurrence 18th months after surgery, and no proptosis recurred. CONCLUSIONS The complete surgical removal of recurrent SOM is practically impossible. The main direction of surgical treatment should be to improve the symptoms of proptosis. |
| Databáze: | OpenAIRE |
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