Outcome of Tumor-Associated Proptosis in Patients With Spheno-Orbital Meningioma: Single-Center Experience and Systematic Review of the Literature
Objective: Tumor-associated proptosis comprises a frequent phenomenon that negatively impacts quality of life in patients suffering from spheno-orbital meningioma (SOM). Therefore, proptosis outcome represents an important measure in meningioma surgery. In the current study, we analyzed our institut...
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doaj-0a5bfad4d2124ab1ab13769dfa49958e2020-11-25T03:05:20ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2020-10-011010.3389/fonc.2020.574074574074Outcome of Tumor-Associated Proptosis in Patients With Spheno-Orbital Meningioma: Single-Center Experience and Systematic Review of the LiteratureMatthias Schneider0Anna-Laura Potthoff1Valeri Borger2Alexis Hadjiathanasiou3Niklas Schäfer4Ági Güresir5Hartmut Vatter6Ulrich Herrlinger7Erdem Güresir8Patrick Schuss9Department of Neurosurgery, University Hospital Bonn, Bonn, GermanyDepartment of Neurosurgery, University Hospital Bonn, Bonn, GermanyDepartment of Neurosurgery, University Hospital Bonn, Bonn, GermanyDepartment of Neurosurgery, University Hospital Bonn, Bonn, GermanyDivision of Clinical Neuro-Oncology, Department of Neurology, University Hospital Bonn, Bonn, GermanyDepartment of Neurosurgery, University Hospital Bonn, Bonn, GermanyDepartment of Neurosurgery, University Hospital Bonn, Bonn, GermanyDivision of Clinical Neuro-Oncology, Department of Neurology, University Hospital Bonn, Bonn, GermanyDepartment of Neurosurgery, University Hospital Bonn, Bonn, GermanyDepartment of Neurosurgery, University Hospital Bonn, Bonn, GermanyObjective: Tumor-associated proptosis comprises a frequent phenomenon that negatively impacts quality of life in patients suffering from spheno-orbital meningioma (SOM). Therefore, proptosis outcome represents an important measure in meningioma surgery. In the current study, we analyzed our institutional database in order to evaluate the recovery of tumor-associated proptosis in patients with SOM.Methods: Between 2009 and 2019, 32 patients with SOM underwent surgical treatment at the authors' institution. The exophthalmos index (EI) was calculated by means of preoperative and postoperative tumor-associated proptosis. Patients with preoperative EI ≥ 1.1 were included in further analysis. Further, we performed a systematic review of the contemporary literature. Favorable proptosis outcome was defined as postoperative decreased EI compared with preoperative EI.Results: Overall, 25 of 32 patients with SOM (78%) suffered from preoperative proptosis in the present series. Preoperative mean EI of 1.37 ± 0.18 decreased after surgical treatment to a postoperative mean EI of 1.15 ± 0.1 during follow-up (p < 0.0001). Systematic review of the literature revealed three studies with individual data on preoperative and postoperative EI measurements leading to a total of 103 patients; 100 of 103 patients (97%) with SOM and preoperative proptosis achieved favorable outcome.Conclusions: The EI provides a comparable standard in evaluation of surgical outcome in patients with tumor-associated proptosis due to SOMs. The large dataset consisting of pooled individual patient data from the systematic review of the literature and the present case series support the assumption that surgical treatment is highly effective in the treatment of tumor-associated proptosis in SOM.https://www.frontiersin.org/article/10.3389/fonc.2020.574074/fullspheno-orbital meningiomaskull base surgeryproptosis-outcomeexophthalmos indexreview of the literature |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Matthias Schneider Anna-Laura Potthoff Valeri Borger Alexis Hadjiathanasiou Niklas Schäfer Ági Güresir Hartmut Vatter Ulrich Herrlinger Erdem Güresir Patrick Schuss |
spellingShingle |
Matthias Schneider Anna-Laura Potthoff Valeri Borger Alexis Hadjiathanasiou Niklas Schäfer Ági Güresir Hartmut Vatter Ulrich Herrlinger Erdem Güresir Patrick Schuss Outcome of Tumor-Associated Proptosis in Patients With Spheno-Orbital Meningioma: Single-Center Experience and Systematic Review of the Literature Frontiers in Oncology spheno-orbital meningioma skull base surgery proptosis-outcome exophthalmos index review of the literature |
author_facet |
Matthias Schneider Anna-Laura Potthoff Valeri Borger Alexis Hadjiathanasiou Niklas Schäfer Ági Güresir Hartmut Vatter Ulrich Herrlinger Erdem Güresir Patrick Schuss |
author_sort |
Matthias Schneider |
title |
Outcome of Tumor-Associated Proptosis in Patients With Spheno-Orbital Meningioma: Single-Center Experience and Systematic Review of the Literature |
title_short |
Outcome of Tumor-Associated Proptosis in Patients With Spheno-Orbital Meningioma: Single-Center Experience and Systematic Review of the Literature |
title_full |
Outcome of Tumor-Associated Proptosis in Patients With Spheno-Orbital Meningioma: Single-Center Experience and Systematic Review of the Literature |
title_fullStr |
Outcome of Tumor-Associated Proptosis in Patients With Spheno-Orbital Meningioma: Single-Center Experience and Systematic Review of the Literature |
title_full_unstemmed |
Outcome of Tumor-Associated Proptosis in Patients With Spheno-Orbital Meningioma: Single-Center Experience and Systematic Review of the Literature |
title_sort |
outcome of tumor-associated proptosis in patients with spheno-orbital meningioma: single-center experience and systematic review of the literature |
publisher |
Frontiers Media S.A. |
series |
Frontiers in Oncology |
issn |
2234-943X |
publishDate |
2020-10-01 |
description |
Objective: Tumor-associated proptosis comprises a frequent phenomenon that negatively impacts quality of life in patients suffering from spheno-orbital meningioma (SOM). Therefore, proptosis outcome represents an important measure in meningioma surgery. In the current study, we analyzed our institutional database in order to evaluate the recovery of tumor-associated proptosis in patients with SOM.Methods: Between 2009 and 2019, 32 patients with SOM underwent surgical treatment at the authors' institution. The exophthalmos index (EI) was calculated by means of preoperative and postoperative tumor-associated proptosis. Patients with preoperative EI ≥ 1.1 were included in further analysis. Further, we performed a systematic review of the contemporary literature. Favorable proptosis outcome was defined as postoperative decreased EI compared with preoperative EI.Results: Overall, 25 of 32 patients with SOM (78%) suffered from preoperative proptosis in the present series. Preoperative mean EI of 1.37 ± 0.18 decreased after surgical treatment to a postoperative mean EI of 1.15 ± 0.1 during follow-up (p < 0.0001). Systematic review of the literature revealed three studies with individual data on preoperative and postoperative EI measurements leading to a total of 103 patients; 100 of 103 patients (97%) with SOM and preoperative proptosis achieved favorable outcome.Conclusions: The EI provides a comparable standard in evaluation of surgical outcome in patients with tumor-associated proptosis due to SOMs. The large dataset consisting of pooled individual patient data from the systematic review of the literature and the present case series support the assumption that surgical treatment is highly effective in the treatment of tumor-associated proptosis in SOM. |
topic |
spheno-orbital meningioma skull base surgery proptosis-outcome exophthalmos index review of the literature |
url |
https://www.frontiersin.org/article/10.3389/fonc.2020.574074/full |
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