AI Article Synopsis
- Traditional surgical methods for orbital issues require open approaches, but recent techniques like the Endoscopic Endonasal Approach (EEA) and Endoscopic Transorbital Approach (ETA) offer minimally invasive alternatives.
- A study analyzed 39 patients treated with these endoscopic methods from 2016 to 2021, assessing complications and cosmetic results using recognized scales.
- Results showed a variety of procedures performed with relatively low postoperative complications, indicating that endoscopic methods are effective for access to orbital lesions with good cosmetic outcomes.
Article Abstract
Introduction: Orbital pathologies requiring surgery are traditionally treated by open approach with different techniques depending on the lesion location. Recently, minimally invasive endoscopic approaches, such as the Endoscopic Endonasal Approach (EEA) and the Endoscopic Transorbital Approach (ETA) have been introduced in orbital surgery.
Research Question: The purpose of this study is to report the combined experience of the Neurosurgical and Ear-Nose-Throat (ENT) Units in the endoscopic approach of orbital pathologies.
Material And Methods: We retrospectively retrieved data on patients treated at our Institution between 2016 and 2021 with endoscopic approach for orbital pathologies. The Clavien-Dindo classification and the Scar Cosmesis Assessment and Rating (SCAR) Scale have been used to assess complications and cosmetic outcomes.
Results: 39 patients met the inclusion criteria. EEA (15 patients) or ETA (20 patients) were chosen to approach the lesions. In three cases we used a combination of endoscopic and anterior orbitotomy and in one patient a combination of EEA + ETA. The type of procedure performed was orbital biopsy (9 cases), orbital decompression (6 cases), subtotal resection of the lesion (STR) (8 cases) and total resection of the lesion (GTR) (16 cases). The more frequent postoperative complications were diplopia (5.1%, with 1 case of permanent diplopia), trigeminal paraesthesia and dysesthesia (5.1%), palpebral edema (17.9%), periorbital ecchymosis (7.7%). Mean follow up time was 21 months (range 2-63 months).
Discussion And Conclusion: Endoscopic approaches to orbital compartments provide minimally invasive access to every orbital compartment with low complications rate and good cosmetic outcome.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10951755 | PMC |
| http://dx.doi.org/10.1016/j.bas.2024.102770 | DOI Listing |
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