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[Paranasal sinus carcinomas with orbital involvement]

J Gosepath1, W Mann

  • 1Universitäts-HNO-Klinik Mainz.

HNO
|July 25, 1998
PubMed
Summary

Preserving the eye during surgery for advanced paranasal sinus carcinomas invading the orbit did not negatively impact patient prognosis. This approach enhances quality of life by maintaining vision and cosmesis.

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Area of Science:

  • Otolaryngology
  • Ophthalmology
  • Oncology

Context:

  • Advanced paranasal sinus carcinomas (T3/T4) with orbital invasion present complex treatment challenges.
  • Surgical intervention aims to balance tumor removal with functional and aesthetic preservation.

Purpose:

  • To evaluate the impact of eye preservation on prognosis in patients with advanced paranasal sinus carcinomas involving the orbit.
  • To assess survival rates and recurrence patterns following orbital-sparing surgery.

Summary:

  • Fifteen patients with T3/T4 paranasal sinus carcinomas invading the orbit underwent surgical resection preserving the eye.
  • Analysis revealed that eye preservation did not worsen prognosis, with survival rates comparable to traditional enucleation.
  • Recurrence rates, timing, and locations were monitored, indicating no adverse effect from the organ-sparing technique.

Impact:

  • Eye preservation in advanced paranasal sinus cancer with orbital involvement is a viable surgical option.
  • Maintaining vision and cosmesis significantly improves patient quality of life without compromising oncological outcomes.
  • This approach supports less invasive treatment strategies for complex head and neck cancers.

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