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Ethmoido-orbital tumors: our experience.
Giorgio Iannetti1, Valentino Valentini, Claudio Rinna
1Department of Maxillo-Facial Surgery, University of Rome La Sapienza, Rome, Italy.
The Journal of Craniofacial Surgery
|December 6, 2005
Summary
Ethmoidal tumors can invade the orbit, a common occurrence despite limited literature. Orbital exenteration is crucial for advanced invasion, improving survival rates.
Area of Science:
- Ophthalmology
- Oncology
- Maxillofacial Surgery
Background:
- Ethmoidal tumors frequently involve the orbit due to the thin lamina papyracea.
- Limited literature specifically addresses orbital invasion by ethmoidal tumors.
Purpose of the Study:
- To investigate the pattern and outcomes of orbital invasion in patients with ethmoidal malignancies.
- To identify prognostic factors and treatment implications for orbital involvement.
Main Methods:
- Retrospective review of 38 patients with untreated primary ethmoidal malignancies (1986-2003).
- Analysis of clinical files to determine orbital invasion presence and stage.
- Kaplan-Meier method used for survival analysis.
Main Results:
- Orbital invasion was present in 24 out of 38 patients (63%).
- Three stages of orbital invasion were identified.
- Overall survival rates were 61.4% at 1 year and 51.1% at 5 and 10 years.
- Intracranial involvement significantly correlated with a poor short-term prognosis.
Conclusions:
- Orbital invasion is a common complication of ethmoidal malignancies.
- Grade III orbital invasion necessitates orbital exenteration for improved disease-free survival.
- Intracranial spread is a critical factor for short-term survival.