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Endoscopic transnasal intraorbital surgery: our experience with 16 cases

  • Rhinology
  • Published:
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An Erratum to this article was published on 20 March 2012

Abstract

The objective of the study is to present our multicentric experience on intraorbital lesions managed by means of an endonasal endoscopic approach. The study design used was multi-institutional retrospective review. We collected data on 16 intraorbital medially-located lesions, all managed by means of an endonasal route, treated in four different skull base centers. We retrospectively reviewed the technical details, complications, histology, and general outcome. The endoscopic endonasal approach was effective in removing completely intraorbital extra-intraconal tumors in 8 cases, in performing biopsies for histological diagnosis in 6 intraorbital intraconal tumors, and in draining 1 extraconal abscess. No major complications were observed; in particular, there was no optic nerve damage. Minor, temporary complications (diplopia) were seen in 3 cases; only 2 patients experienced a permanent diplopia related to medial rectus muscle impairment, in 1 case associated with enophthalmos. Our preliminary multi-centric clinical experience suggests that medially located intraorbital lesions, and in particular the infero-medial ones, can be successfully and safely managed by such an approach. The well-known advantages of the endoscopic techniques, namely the lack of external scars, less bleeding, shorter hospital stay, and fewer complications, are confirmed.

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Acknowledgments

We thank Mrs. Diana Hearn for her help in translating and revising the manuscript.

Conflict of interest

We declare that the manuscript has been neither previously published nor under consideration elsewhere and that none of the authors has any conflict of interest, financial or otherwise.

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Authors and Affiliations

  1. ENT Unit, Azienda Ospedaliero-Universitaria Ospedale di Circolo e Fondazione Macchi, Varese, Italy

    Paolo Castelnuovo, Iacopo Dallan, Paolo Battaglia & Apostolous Karligktios

  2. Neurosurgical Department, University of Pavia, Pavia, Italy

    Davide Locatelli

  3. ENT Department, Bellaria Hospital, Bologna, Italy

    Paolo Farneti & Ernesto Pasquini

  4. Department of Otorhinolaryngology, 1st ENT Unit, Azienda Ospedaliero-Universitaria Pisana, Via Paradisa 2, 56122, Pisa, Italy

    Veronica Seccia

  5. ENT Department, University of Graz, Graz, Austria

    Peter Valentin Tomazic & Heinz Stammberger

Authors
  1. Paolo Castelnuovo
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  2. Iacopo Dallan
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  3. Davide Locatelli
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  4. Paolo Battaglia
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  5. Paolo Farneti
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  6. Peter Valentin Tomazic
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  7. Veronica Seccia
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  8. Apostolous Karligktios
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  9. Ernesto Pasquini
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  10. Heinz Stammberger
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Corresponding author

Correspondence to Veronica Seccia.

Additional information

E. Pasquini and H. Stammberger both should be considered as last author.

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Castelnuovo, P., Dallan, I., Locatelli, D. et al. Endoscopic transnasal intraorbital surgery: our experience with 16 cases. Eur Arch Otorhinolaryngol 269, 1929–1935 (2012). https://doi.org/10.1007/s00405-011-1917-z

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  • DOI: https://doi.org/10.1007/s00405-011-1917-z

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