Efficacy of exenteration of the orbit and sinus in malignant tumors of the ethmoidal labyrinth
Background: Diagnosing malignant tumors of the ethmoidal labyrinth early, with advanced techniques, is important, because late diagnosis may lead to intracranial spread to the eye or base of the skull. Purpose: To assess the efficacy of exenteration of the orbit and sinus in the presence of the t...
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| Format: | Article |
| Language: | English |
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Ukrainian Society of Ophthalmologists
2022-12-01
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| Series: | Journal of Ophthalmology |
| Subjects: | |
| Online Access: | https://www.ozhurnal.com/en/archive/2022/6/7-fulltext |
| _version_ | 1827591398198607872 |
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| author | F. D. Yevchev A. F. Yevcheva V. V. Gaevsky S. I. Poliakova |
| author_facet | F. D. Yevchev A. F. Yevcheva V. V. Gaevsky S. I. Poliakova |
| author_sort | F. D. Yevchev |
| collection | DOAJ |
| description | Background: Diagnosing malignant tumors of the ethmoidal labyrinth early, with advanced techniques, is important, because late diagnosis may lead to intracranial spread to the eye or base of the skull.
Purpose: To assess the efficacy of exenteration of the orbit and sinus in the presence of the tumor of the ethmoidal labyrinth spreading to the eye.
Material and Methods: Sixty-two patients with a malignant tumor of the ethmoidal labyrinth spreading to the eye received surgery during 2017 through 2022. Of these, 42 (75.8%) were females and 20 (32.2%) were males, with patient age ranging from 55 to 75 years. Diagnostic assessment included computed tomography (CT) of the paranasal sinuses and orbit and tumor biopsy from the nasal cavity. Patients underwent a radical surgical procedure, an exenteration of the orbit and sinus. One month after surgery, they received preventive radiotherapy, with a dose of 40-45 Gy applied to the bed of the primary tumor.
Results: Intraoperative course was unremarkable, and no postoperative complications were found. All the patients (100%) showed no evidence of tumor recurrence or regrowth and no metastasis over a 6-month and 3-year follow-up.
Conclusion: A radical surgical procedure, an exenteration of the orbit and sinus followed by postoperative radiotherapy for a moderately differentiated tumor of the ethmoidal labyrinth spread to the orbit allowed achieving a positive treatment outcome, both in terms of local status (i.e., no tumor recurrence or regrowth) and disease process (no metastasis), over a 3-year follow-up in all the patients (100%). The decision of the extent of surgery should be made by a multispecialty team including an otorhinolaryngologist, eye cancer specialist and neurosurgeon. |
| first_indexed | 2024-03-09T01:31:12Z |
| format | Article |
| id | doaj.art-5c106a1b344645fbaa843b7d682b646f |
| institution | Directory Open Access Journal |
| issn | 2412-8740 |
| language | English |
| last_indexed | 2024-03-09T01:31:12Z |
| publishDate | 2022-12-01 |
| publisher | Ukrainian Society of Ophthalmologists |
| record_format | Article |
| series | Journal of Ophthalmology |
| spelling | doaj.art-5c106a1b344645fbaa843b7d682b646f2023-12-09T15:12:29ZengUkrainian Society of OphthalmologistsJournal of Ophthalmology2412-87402022-12-016353810.31288/oftalmolzh202263538Efficacy of exenteration of the orbit and sinus in malignant tumors of the ethmoidal labyrinthF. D. Yevchev0A. F. Yevcheva1V. V. Gaevsky2S. I. Poliakova3Odesa National Medical UniversityOdesa National Medical UniversityOdesa National Medical UniversitySI “The Filatov Institute of Eye Diseases and Tissue Therapy of the NAMS of Ukraine”Background: Diagnosing malignant tumors of the ethmoidal labyrinth early, with advanced techniques, is important, because late diagnosis may lead to intracranial spread to the eye or base of the skull. Purpose: To assess the efficacy of exenteration of the orbit and sinus in the presence of the tumor of the ethmoidal labyrinth spreading to the eye. Material and Methods: Sixty-two patients with a malignant tumor of the ethmoidal labyrinth spreading to the eye received surgery during 2017 through 2022. Of these, 42 (75.8%) were females and 20 (32.2%) were males, with patient age ranging from 55 to 75 years. Diagnostic assessment included computed tomography (CT) of the paranasal sinuses and orbit and tumor biopsy from the nasal cavity. Patients underwent a radical surgical procedure, an exenteration of the orbit and sinus. One month after surgery, they received preventive radiotherapy, with a dose of 40-45 Gy applied to the bed of the primary tumor. Results: Intraoperative course was unremarkable, and no postoperative complications were found. All the patients (100%) showed no evidence of tumor recurrence or regrowth and no metastasis over a 6-month and 3-year follow-up. Conclusion: A radical surgical procedure, an exenteration of the orbit and sinus followed by postoperative radiotherapy for a moderately differentiated tumor of the ethmoidal labyrinth spread to the orbit allowed achieving a positive treatment outcome, both in terms of local status (i.e., no tumor recurrence or regrowth) and disease process (no metastasis), over a 3-year follow-up in all the patients (100%). The decision of the extent of surgery should be made by a multispecialty team including an otorhinolaryngologist, eye cancer specialist and neurosurgeon.https://www.ozhurnal.com/en/archive/2022/6/7-fulltexttumor of the ethmoidal labyrinthexenteration of the orbit and sinus |
| spellingShingle | F. D. Yevchev A. F. Yevcheva V. V. Gaevsky S. I. Poliakova Efficacy of exenteration of the orbit and sinus in malignant tumors of the ethmoidal labyrinth Journal of Ophthalmology tumor of the ethmoidal labyrinth exenteration of the orbit and sinus |
| title | Efficacy of exenteration of the orbit and sinus in malignant tumors of the ethmoidal labyrinth |
| title_full | Efficacy of exenteration of the orbit and sinus in malignant tumors of the ethmoidal labyrinth |
| title_fullStr | Efficacy of exenteration of the orbit and sinus in malignant tumors of the ethmoidal labyrinth |
| title_full_unstemmed | Efficacy of exenteration of the orbit and sinus in malignant tumors of the ethmoidal labyrinth |
| title_short | Efficacy of exenteration of the orbit and sinus in malignant tumors of the ethmoidal labyrinth |
| title_sort | efficacy of exenteration of the orbit and sinus in malignant tumors of the ethmoidal labyrinth |
| topic | tumor of the ethmoidal labyrinth exenteration of the orbit and sinus |
| url | https://www.ozhurnal.com/en/archive/2022/6/7-fulltext |
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