Citations 1
Endoscopic‐assisted transorbital extended orbital exenteration: A multi‐institutional preclinical study
Roccuzzo, Giuseppe , Vyskocil, Erich , Kandathil, Sam Augustine , Peris‐Celda, Maria , Leong, Samuel , Herman, Philippe , Vérillaud, Benjamin , Bresson, Damien, Schreiber, Alberto , Arosio, Alberto Daniele , Valentini, Marco , Pozzi, Fabio , Volpi, Luca , Nicolai, Piero , Ferrari, Marco , Kandathil, Sam Augustine , Borsetto, Daniele , Taboni, Stefano , Mattavelli, Davide , Ferrari, Marco , Schreiber, Alberto , Hirtler, Lena , Agosti, Edoardo , Kuan, Edward C , Wang, Eric W , Sharma, Rishi , Vinciguerra, Alessandro , Bresson, Damien , Erović, Boban M. , Vural, Alperen , Dallan, Iacopo , Doglietto, Francesco , Mattavelli, Davide , Rampinelli, Vittorio , Battaglia, Paolo , Turri‐Zanoni, Mario , Bignami, Maurizio , Castelnuovo, Paolo
Head & Neck | July 3, 2024 | Volume: 46 | Issue: 9 | Pages: 2327-2339
Abstract Background Sinonasal malignancies with orbital invasion have dismal prognosis even when treated with orbital exenteration (OE). Sugawara et al. developed a surgical strategy called “extended‐OE (EOE),” showing encouraging outcomes. We hypothesized that a similar resection is achievable under endoscopic guidance through the exenterated orbit (endoscopic‐EOE). Methods The study was conducted in three institutions: University of Vienna; Mayo Clinic; University of Insubria; 48 orbital dissections were performed. A questionnaire was developed to evaluate feasibility and safety of each step, scoring from 1 to 10, (“impossible” to “easy,” and “high risk” to “low risk,” respectively), most likely complication(s) were hypothesized. Results The step‐by‐step technique is thoroughly described. The questionnaire was answered by 25 anterior skull base surgeons from six countries. Mean, median, range, and interquartile range of both feasibility and safety scores are reported. Conclusions Endoscopic‐EOE is a challenging but feasible procedure. Clinical validation is required to assess real‐life outcomes.