Open AccessTransnasal Endoscopic Approach to Sino‐orbital Lesions
Author(s) -
Damaty Ahmed Hesham El,
Badran Hatem
Publication year - 2012
Publication title -
otolaryngology–head and neck surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.232
H-Index - 121
eISSN - 1097-6817
pISSN - 0194-5998
DOI - 10.1177/0194599812451438a261
Subject(s) - medicine , orbit (dynamics) , surgery , endoscopy , engineering , aerospace engineering
Objective To present Cairo University experience in approaching sino‐orbital lesions endoscopically. Method Fifty‐one patients with sino‐orbital and medially placed orbital lesions admitted and operated endoscopically by a combined ENT and ophthalmology team were included in this study. Their preoperative and postoperative signs, symptoms, outcomes, and radiologic data as well as their operative details were collected and analyzed. Results Among those 51 patients the majority of cases were inflammatory (26 patients) followed by neoplasms (16 patients) mainly of sinuses extending to the orbit followed by thyroid orbitopathy (7 patients) and finally 2 traumatic cases. The final outcome was favorable as a whole, zero mortality, 1 unilateral loss of vision, and good control of pathology with only 11.8% recurrence rate (6 patients); 4 of them required reintervention. The mean follow‐up period was 12 months. Conclusion The transnasal endoscopic surgical technique for orbital and sino‐orbital lesions is a minimally invasive alternative to traditional invasive approaches for selected patients and can achieve favorable outcome with very low morbidity. More practice and time are required to increase our skills and experience to master this approach.