CC BY-NC-ND 4.0 · Laryngorhinootologie 2018; 97(S 02): S353
DOI: 10.1055/s-0038-1640942
Abstracts
Rhinologie: Rhinology

Intraorbital tumors – a challenging disease for ENT specialists

HJ Welkoborsky
1   HNO-Klinik, Klinikum Hannover, Hannover
,
S Graß
2   HNO-Klinik, Klinikum Nordstadt, Hannover
,
J Küstermeyer
2   HNO-Klinik, Klinikum Nordstadt, Hannover
,
A Schilimow
3   Klinik für Augenheilkunde, Klinikum Nordstadt, Hannover
› Author Affiliations
 

Introduction:

Tumors of the orbit are relatively rare lesions. ENT specialists are consultated by patients with unspecific symptoms which could be a hint for an intraorbital tumor. The purpose of the present study was to analyze the frequency, typical symptoms and histologic dignity of intraorbital tumors in a interdiciplinary orbit surgery center.

Methods:

The clinical symptoms, results of imaging examinations (i.e. CT scans; MRI scans), along with results of pathologic-histologic examinations of all patients which were treated for an introrbital tumor during the last decade were analyzed retro- and prospectively.

Results:

158 patients with an intraorbital tumor were treated between 2007 and 2017. Progressive exophthalmus was the most frequent clinical symptom, followed by displacement of the eye bulb, double vision, disturbed eye ball motility, chemosis, intraorbital pain, and loss of visual acuity. Histologically benign lesions were found in 93 patients with varix knots being the most frequent entity, followed by cavernous hemangioma, orbital pseudotumor, and adenomas of the lacrimal glands. In 65 cases a malignant tumor was found, with malignant non-Hodgkin's lymphoma being the most frequent entity, followed by adeno- and adenoidcystic carcinomas, metastases and sarcomas.

Conclusions:

Although relatively rare patients with intraorbital tumors often complain on unspecific symptoms with which they are consultating an ENT specialist first. Therapy of intraorbital tumors is operative in most cases with a close interdisciplinary management is mandatory. In all cases of intraorbital tumors at least a biopsy is required. Currently there is no non-invasive imaging technique available for i.e. differentiation between an orbital pseudotumor and a malignant non-Hodgkin's lymphoma.



Publication History

Publication Date:
18 April 2018 (online)

© 2018. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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