[Importance of Interdisciplinary Collaboration for Optimal Treatment of Orbital Tumors]

Overview

Journal HNO

Specialty Otorhinolaryngology

Date 2019 Apr 4

PMID 30941456

Citations 3

Authors

A C Rokohl

K R Koch

C Kabbasch

M Kreppel

J-C Luers

S Grau

L M Heindl

Affiliations

Soon will be listed here.

Abstract

Optimal treatment of tumors with orbital invasion may exceed the competences of an individual medical specialty and require interdisciplinary cooperation. The aim of this article is to present an interdisciplinary treatment concept based on the examples of intraorbital hemangioma and squamous cell carcinoma of the paranasal sinuses infiltrating the orbit. In addition to a detailed medical history and a complete ophthalmological examination, a detailed imaging technique with standardized echography and tomography methods such as orbital thin-slice CT and/or in many cases MRI is essential for the primary classification of an intraorbital pathology. Depending on the type of pathology, a purely surgical procedure involving various disciplines such as ophthalmology, otorhinolaryngology, maxillofacial surgery, neurosurgery, and pathology, or an interdisciplinary treatment regimen including (neo)adjuvant radiotherapy or chemotherapy is necessary. Orbital tumors have a wide range of potential pathologies, requiring complex surgical procedures and multimodal therapies. In case of infiltration of the paranasal sinuses or intracranial structures, an interdisciplinary team including neuroradiologists, oral-maxillofacial surgeons, otorhinolaryngologists, neurosurgeons, radiation therapists, ophthalmologists, pathologists, oncologists, and psycho-oncologists is essential for successful treatment.

Citing Articles

The role of surgical factors eliciting oculocardiac reflex of patients undergoing orbital tumor surgery: a retrospective study.

Yue Z, Liu S, Zhu Y, Shen Y, Zeng C, Li J Graefes Arch Clin Exp Ophthalmol. 2023; 262(4):1295-1303.

PMID: 37950752 DOI: 10.1007/s00417-023-06311-x.

Radiation optic neuropathy and retinopathy in patients with presumed benign intraorbital tumours treated with fractionated stereotactic radiotherapy.

Gishti O, de Keizer R, Detiger S, van Rij C, Slagter C, Paridaens D Eye (Lond). 2022; 37(12):2470-2474.

PMID: 36513859 PMC: 10397216. DOI: 10.1038/s41433-022-02356-0.

Effective systemic treatment of advanced periocular basal cell carcinoma with sonidegib.

Rokohl A, Heindl L Graefes Arch Clin Exp Ophthalmol. 2021; 259(12):3821-3822.

PMID: 34338845 PMC: 8589764. DOI: 10.1007/s00417-021-05311-z.

References

Christensen S, Borgesen S, Heegaard S, Prause J . Orbital intramuscular haemangioma. Acta Ophthalmol Scand. 2002; 80(3):336-9. DOI: 10.1034/j.1600-0420.2002.800320.x. View

Schick U, Dott U, Hassler W . Surgical treatment of orbital cavernomas. Surg Neurol. 2003; 60(3):234-44; discussion 244. DOI: 10.1016/s0090-3019(03)00136-8. View

Shields J, Shields C, Scartozzi R . Survey of 1264 patients with orbital tumors and simulating lesions: The 2002 Montgomery Lecture, part 1. Ophthalmology. 2004; 111(5):997-1008. DOI: 10.1016/j.ophtha.2003.01.002. View

Ohtsuka K, Hashimoto M, Suzuki Y . A review of 244 orbital tumors in Japanese patients during a 21-year period: origins and locations. Jpn J Ophthalmol. 2005; 49(1):49-55. DOI: 10.1007/s10384-004-0147-y. View

Hejazi N, Hassler W, Offner F, Schuster A . Cavernous malformations of the orbit: a distinct entity? A review of own experiences. Neurosurg Rev. 2006; 30(1):50-4. DOI: 10.1007/s10143-006-0055-3. View

Hu Y, Zhou L, Huang W, Gu Y, Ni R, Li X . [Management in squamous cell carcinoma of maxillary sinus with orbital invasion]. Lin Chuang Er Bi Yan Hou Ke Za Zhi. 2007; 20(20):937-8. View

Suarez C, Ferlito A, Lund V, Silver C, Fagan J, Rodrigo J . Management of the orbit in malignant sinonasal tumors. Head Neck. 2007; 30(2):242-50. DOI: 10.1002/hed.20736. View

Khademi B, Moradi A, Hoseini S, Mohammadianpanah M . Malignant neoplasms of the sinonasal tract: report of 71 patients and literature review and analysis. Oral Maxillofac Surg. 2009; 13(4):191-9. DOI: 10.1007/s10006-009-0170-8. View

Federspil P . [Craniofacial prostheses for facial defects]. HNO. 2010; 58(6):621-31. DOI: 10.1007/s00106-010-2087-9. View

10.

Lieb W . [Tumors and tumor-like lesions of the orbit]. HNO. 2010; 58(7):661-71. DOI: 10.1007/s00106-010-2140-8. View

11.

Kokemuller H, Von See C, Essig H, Tavassol F, Rucker M, Schramm A . [Reconstruction of complex midfacial defects with individualized titanium implants]. HNO. 2011; 59(4):319-26. DOI: 10.1007/s00106-011-2280-5. View

12.

Poloschek C, Lagreze W, Ridder G, Hader C . [Clinical and neuroradiological diagnostics of orbital tumors]. Ophthalmologe. 2011; 108(6):510-8. DOI: 10.1007/s00347-010-2190-z. View

13.

Arnold A, Ziglinas P, Ochs K, Alter N, Geretschlager A, Ladrach K . Therapy options and long-term results of sinonasal malignancies. Oral Oncol. 2012; 48(10):1031-1037. DOI: 10.1016/j.oraloncology.2012.04.005. View

14.

Jakob M, Manz M, Herberhold S, Schrock A, Gerstner A, Schuller H . [Treatment results of nasopharyngeal carcinoma in adults]. HNO. 2012; 60(12):1075-81. DOI: 10.1007/s00106-012-2633-8. View

15.

Abu-Ghanem S, Ben-Cnaan R, Leibovitch I, Horowitz G, Fishman G, Fliss D . Outcomes of endonasal endoscopic dacryocystorhinostomy after maxillectomy in patients with paranasal sinus and skull base tumors. Eur Arch Otorhinolaryngol. 2013; 271(6):1513-8. DOI: 10.1007/s00405-013-2706-7. View

16.

Thranitz M, Berg T, Kneifel C, Stock K, Knipping S . [Epithelioid sarcoma of the orbit]. HNO. 2013; 62(3):202-6. DOI: 10.1007/s00106-013-2780-6. View

17.

Rootman D, Heran M, Rootman J, White V, Luemsamran P, Yucel Y . Cavernous venous malformations of the orbit (so-called cavernous haemangioma): a comprehensive evaluation of their clinical, imaging and histologic nature. Br J Ophthalmol. 2014; 98(7):880-8. DOI: 10.1136/bjophthalmol-2013-304460. View

18.

Avgitidou G, Koch K, Cursiefen C, Heindl L . [Current aspects of eyelid, lacrimal and orbital surgery in childhood]. Ophthalmologe. 2015; 112(2):102-9. DOI: 10.1007/s00347-014-3054-8. View

19.

Lenzi R, Bleier B, Felisati G, Muscatello L . Purely endoscopic trans-nasal management of orbital intraconal cavernous haemangiomas: a systematic review of the literature. Eur Arch Otorhinolaryngol. 2015; 273(9):2319-22. DOI: 10.1007/s00405-015-3733-3. View

20.

Koch K, Matthaei M, Grau S, Blau T, Bolke E, Schlichting O . Benign orbital angiomatous tumors with intracranial extension. Eur J Med Res. 2015; 20:63. PMC: 4531435. DOI: 10.1186/s40001-015-0157-x. View