Title :

Are there predictive factors of complications of surgery for benign orbital tumors? A systematic review.

Author(s) :

Béret, Marie [Auteur]
Centre Hospitalier Régional Universitaire [CHU Lille] [CHRU Lille]
De Massary, Mathilde [Auteur]
Nicot, Romain [Auteur]
Médicaments et biomatériaux à libération contrôlée: mécanismes et optimisation - Advanced Drug Delivery Systems - U 1008 [MBLC - ADDS]

Journal title :

Journal of Stomatology, Oral and Maxillofacial Surgery

Abbreviated title :

J Stomatol Oral Maxillofac Surg

Volume number :

126

Pages :

102507

Publisher :

Elsevier

Publication date :

2025-08-07

ISSN :

2468-7855

HAL domain(s) :

Sciences du Vivant [q-bio]

English abstract : [en]

Introduction Benign tumors account for 64–68 % of orbital tumors, with a wide variety of etiologies. The indication for surgical resection of a benign tumor is not systematic and depends mainly on the functional and ...
Show more >Introduction Benign tumors account for 64–68 % of orbital tumors, with a wide variety of etiologies. The indication for surgical resection of a benign tumor is not systematic and depends mainly on the functional and esthetic clinical consequences. Surgical management presents risk of serious complications which can lead to major functional disorders and even blindness. The aim of this review is to identify the potential predictive factors of complications in benign orbital tumor surgery and assist therapeutic decision-making. Material and methods: A systematic review was performed, by searching on PubMed for articles published from January 2000 to July 2023 on surgical management in benign intraorbital tumors and their complications. Results Of the 231 studies identified, 15 studies were included with 331 patients, including 183 cavernous hemangiomas, 52 dermoid cysts and 32 schwannomas. The main initial symptoms were exophthalmos or proptosis (83.3 %), decreased vision (21.9 %), and diplopia (11.6 %). 169 intraconal tumors, 50 extraconal tumors and two both intra and extraconal tumors were reported. Most of the studies reported a transconjunctival or transpalpebral approach (72.2 %). The included studies described 87 postoperative complications: severe postoperative visual deterioration (SPVD) (1.2 %), enophthalmos, transient diplopia, and ptosis. Discussion This risk of SPVD seems increased in schwannomas and intraconal tumors, especially those close to the orbital apex. The intraconal location is also a risk factor for other complications (diplopia, enophthalmos, ptosis). Nevertheless, it cannot be concluded on the role of the surgical approach on the risk of complications.Show less >

Language :

Anglais

Audience :

Internationale

Popular science :

Non

Administrative institution(s) :

Université de Lille
Inserm
CHU Lille

Collections :

• Advanced Drug Delivery Systems (ADDS) - U1008

Submission date :

2025-11-23T22:01:47Z
2025-12-03T08:38:29Z