机构：[1]Department of Otolaryngology-Head & Neck Surgery, University of Washington, Seattle, Washington, USA.[2]Department of Otorhinolaryngology-Head and Neck Surgery, University of Pennsylvania School of Medicine, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA.[3]Faculty of Medicine and Health Science, Macquarie University, Sydney, New South Wales, Australia.[4]Department of Otorhinolaryngology, Head and Neck Surgery, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia.[5]Unit of Otorhinolaryngology, Department of Biotechnology and Life Sciences, University of Insubria, Ospedale di Circolo e Fondazione Macchi, Varese, Italy.[6]Department of Ophthalmology, University of Washington, Seattle, Washington, USA.[7]Department of Otolaryngology-Head & Neck Surgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA.[8]ENT Unit, Azienda Ospedaliera Universitaria Pisana, Pisa, Italy.[9]Department of Otolaryngology-Head & Neck Surgery, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, USA.[10]Ophthalmic Plastic Surgery Service, Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, Massachusetts, USA.[11]Department of Neurosurgery, Stanford University, Palo Alto, California, USA.[12]Department of Neurosurgery, University of Washington, Seattle, Washington, USA.[13]Department of Neurological Surgery, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.[14]Department of Otolaryngology-Head & Neck Surgery, Columbia University Irving Medical Center, New York, New York, USA.[15]Rhinology and Skull Base Research Group, Applied Medical Research Centre, University of New South Wales, Sydney, Australia.[16]Department of Otolaryngology-Head & Neck Surgery, Beijing Tongren Hospital, Capital Medical University, Key Laboratory of Otolaryngology-Head & Neck Surgery, Ministry of Education, Beijing, China.临床科室耳鼻咽喉-头颈外科首都医科大学附属北京同仁医院首都医科大学附属同仁医院[17]Department of Neurosurgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.[18]Department of Otolaryngology-Head & Neck Surgery, Geisinger Medical Center, Danville, Pennsylvania, USA.[19]Division of Neurosurgery, Department of Biotechnology and Life Sciences, Ospedale Di Circolo E Fondazione Macchi, University of Insubria, Varese, Italy.[20]Department of Ophthalmology, University of Oklahoma, Oklahoma City, Oklahoma, USA.[21]Department of Otorhinolaryngology, Faculty of Medicine, Universiti Malaya, Jalan Universiti, Wilayah Persekutuan, Kuala Lumpur, Malaysia.[22]Department of Otolaryngology-Head & Neck Surgery, Concord General Hospital, University of Sydney, Sydney, Australia.[23]Department of Otolaryngology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.[24]Department of Otolaryngology–Head & Neck Surgery, Mayo Clinic School of Medicine, Rochester, Minnesota, USA[25]Department of Otolaryngology–Head & Neck Surgery, Massachusetts Eye and Ear, Harvard Medical School, Boston, Massachusetts, USA[26]Department of Otolaryngology, Cedars-Sinai Medical Center, Los Angeles, California, USA
The CHEER staging system has become the gold standard for outcomes reporting in endoscopic orbital surgery for orbital cavernous hemangiomas (OCHs). A recent systematic review demonstrated similar outcomes between OCHs and other primary benign orbital tumors (PBOTs). Therefore, we hypothesized that a simplified and more comprehensive classification system could be developed to predict surgical outcomes of other PBOTs.Patient and tumor characteristics as well as surgical outcomes from 11 international centers were recorded. All tumors were retrospectively assigned an Orbital Resection by Intranasal Technique (ORBIT) class and stratified based on surgical approach as either exclusively endoscopic or combined (endoscopic and open). Outcomes based on approach were compared using chi-squared or Fisher's exact tests. The Cochrane-Armitage test for trend was used to analyze outcomes by class.Findings from 110 PBOTs from 110 patients (age 49.0 ± 15.0 years, 51.9% female) were included in the analysis. Higher ORBIT class was associated with a lower likelihood of gross total resection (GTR). GTR was more likely to be achieved when an exclusively endoscopic approach was utilized (p<0.05). Tumors resected using a combined approach tended to be larger, to present with diplopia, and to have an immediate post-operative cranial nerve palsy (p<0.05).Endoscopic treatment of PBOTs is an effective approach, with favorable short- and long-term post-operative outcomes as well as low rate of adverse events. The ORBIT classification system is an anatomic-based framework that effectively facilitates high-quality outcomes reporting for all PBOTs. This article is protected by copyright. All rights reserved.This article is protected by copyright. All rights reserved.
第一作者机构：[1]Department of Otolaryngology-Head & Neck Surgery, University of Washington, Seattle, Washington, USA.[*1]Division of Rhinology and Endoscopic Skull Base Surgery, Department of Otolaryngology–Head & Neck Surgery, University ofWashington, Box 356515, Health Sciences Building, Suite BB1165, Seattle,WA 98195-6515, USA
通讯作者：
通讯机构：[1]Department of Otolaryngology-Head & Neck Surgery, University of Washington, Seattle, Washington, USA.[*1]Division of Rhinology and Endoscopic Skull Base Surgery, Department of Otolaryngology–Head & Neck Surgery, University ofWashington, Box 356515, Health Sciences Building, Suite BB1165, Seattle,WA 98195-6515, USA
推荐引用方式(GB/T 7714)：
Jafari Aria,Adappa Nithin D,Anagnos Vincent J,et al.Orbital Resection by Intranasal Technique (ORBIT): A new classification system for reporting endoscopically resectable primary benign orbital tumors[J].INTERNATIONAL FORUM OF ALLERGY & RHINOLOGY.2023,13(10):1852-1863.doi:10.1002/alr.23141.
APA：
Jafari Aria,Adappa Nithin D,Anagnos Vincent J,Campbell Raewyn G,Castelnuovo Paolo...&Bleier Benjamin S.(2023).Orbital Resection by Intranasal Technique (ORBIT): A new classification system for reporting endoscopically resectable primary benign orbital tumors.INTERNATIONAL FORUM OF ALLERGY & RHINOLOGY,13,(10)
MLA：
Jafari Aria,et al."Orbital Resection by Intranasal Technique (ORBIT): A new classification system for reporting endoscopically resectable primary benign orbital tumors".INTERNATIONAL FORUM OF ALLERGY & RHINOLOGY 13..10(2023):1852-1863
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