Short-term outcomes of purely endoscopic endonasal resection of orbital tumors: A systematic review

Pariket M. Dubal, Peter F. Svider, Daniel Denis, Adam J. Folbe, Jean Anderson Eloy

Research output: Contribution to journalReview article

9 Scopus citations

Abstract

Background: The purpose of this review was to evaluate outcomes in transnasal endoscopic approaches for the management of extraconal and intraconal orbital tumors. Methods: A systematic review of studies on purely endoscopic endonasal orbital tumor resections was conducted using the MEDLINE database. Data extracted and analyzed from selected studies included study type, sample size, demographics, symptomatology, tumor characteristics, complications, follow-up time, and recurrence. Results: Thirty-nine studies were identified and included, containing patient data for 71 cases. Mean patient age was 47 years (range, 1-75 years), and 53.5% of patients were male. Primary site of the tumor was orbital in 69.0% of the cases, of which 51.0% were intraconal and 30.6% were extraconal. The most common reported histopathology was cavernous hemangioma (45.1%). Intraoperative complications were reported in 5.6% of cases. Postoperative complications were noted in 29.6% of cases, the majority of which were transient (76.2%). There was no significant difference in postoperative complication rate between intraconal and extraconal primary site tumors (p = 0.302). Recurrence rate was 4.2%. Conclusion: Purely endoscopic endonasal resection of orbital tumors is a viable alternative technique to traditional external procedures, with the inherent advantages of minimally invasive surgery. This study of 71 cases represents the largest pooled sample size to date, and the increasing use of endoscopic procedures will allow for future analyses with greater statistical power.

Original languageEnglish (US)
Pages (from-to)1008-1015
Number of pages8
JournalInternational Forum of Allergy and Rhinology
Volume4
Issue number12
DOIs
StatePublished - Dec 1 2014

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All Science Journal Classification (ASJC) codes

  • Immunology and Allergy
  • Otorhinolaryngology

Keywords

  • Endoscopy
  • Malignancy
  • Neoplasm
  • Orbital tumors
  • PRISMA
  • Systematic review

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