Development of the international orbital Cavernous Hemangioma Exclusively Endonasal Resection (CHEER) staging system

International Forum of Allergy & Rhinology
Edward El RassiBenjamin S Bleier

Abstract

Orbital cavernous hemangiomas (OCH) are the most common adult orbital tumor and represent an ideal index lesion for endonasal orbital tumor surgery. In order to standardize outcomes reporting, an anatomic-based staging system was developed. An international, multidisciplinary panel of 23 experts in orbital tumor surgery was formed. A modified Delphi method was used to develop the cavernous hemangioma exclusively endonasal resection (CHEER) staging system with a total of 2 rounds being completed. Tumors medial to a plane along the long axis of the optic nerve may be considered amenable for an exclusively endonasal resection. In select cases, tumors may extend inferolaterally if the tumor remains below a plane from the contralateral naris through the long axis of the optic nerve (ie, plane of resectability [POR]). This definition reached consensus with 91.3% of panelists in agreement. Five stages were designed based on increasing technical resection difficulty and potential for morbidity. Stages were based on the relationship of the tumor to the extraocular muscles, the inferomedial muscular trunk of the ophthalmic artery (IMT), and orbital foramina. Staging by anatomic location also reached consensus with 87.0% of panelists in a...Continue Reading

References

Jan 1, 1990·Surgical and Radiologic Anatomy : SRA·J Lang, I Kageyama
Feb 25, 1999·The Annals of Otology, Rhinology, and Laryngology·P HermanP T Huy
Oct 5, 2006·Eye·S S Hayreh
Oct 4, 2007·The Journal of Craniofacial Surgery·Senem Erdogmus, Figen Govsa
Nov 26, 2009·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Aldo Stamm, João Flávio Nogueira
Oct 27, 2010·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Kibwei A McKinneyAdam M Zanation
Jan 13, 2012·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Paolo CastelnuovoHeinz Stammberger
Nov 28, 2012·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Iacopo DallanAlberto Prats-Galino
May 23, 2013·The Journal of Trauma and Acute Care Surgery·Dominique C OlthofUNKNOWN PYTHIA Collaboration Group
Jan 15, 2014·International Forum of Allergy & Rhinology·Nipun ChhabraRalph Metson
Apr 2, 2014·International Forum of Allergy & Rhinology·Benjamin S BleierSuzanne Freitag
Jul 22, 2014·International Forum of Allergy & Rhinology·Nipun ChhabraBenjamin S Bleier
Jul 5, 2015·Neurosurgery Clinics of North America·Paolo CastelnuovoIacopo Dallan
Nov 10, 2015·Radiotherapy and Oncology : Journal of the European Society for Therapeutic Radiology and Oncology·Emmie KaljouwPeter J Hoskin
Dec 2, 2015·International Forum of Allergy & Rhinology·Benjamin S BleierSuzanne Freitag
May 25, 2016·American Journal of Rhinology & Allergy·Giant C LinBenjamin S Bleier
Feb 15, 2018·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Jacob MelchiorsChristian von Buchwald
Jun 6, 2018·Journal of Neurological Surgery. Part B, Skull Base·Alice Z MaxfieldBenjamin S Bleier

❮ Previous
Next ❯

Citations

Jul 18, 2019·International Forum of Allergy & Rhinology·David W Kennedy
Aug 24, 2019·International Forum of Allergy & Rhinology·Jingying MaShi Jitong
Nov 20, 2019·Orbit·Matthew KimMichael Kazim
Oct 18, 2019·American Journal of Rhinology & Allergy·Catherine BanksBenjamin S Bleier
Sep 9, 2020·Current Opinion in Ophthalmology·Jenny C DohlmanSuzanne K Freitag
Oct 20, 2020·Journal of Neurological Surgery. Part B, Skull Base·Katie MelderEric W Wang
Oct 20, 2020·Journal of Neurological Surgery. Part B, Skull Base·S Tonya Stefko
Dec 23, 2020·International Forum of Allergy & Rhinology·Aria JafariBenjamin S Bleier
Aug 2, 2020·American Journal of Ophthalmology·Joel Caballero-GarcíaJuvenal Huanca-Amaru
Oct 4, 2020·Current Opinion in Ophthalmology·Jenny C DohlmanSuzanne K Freitag
Feb 19, 2021·American Journal of Ophthalmology Case Reports·Amee D AzadAndrea L Kossler
Apr 1, 2021·Seminars in Ophthalmology·Edith R ReshefSuzanne K Freitag
Mar 30, 2021·Journal of Neurological Surgery. Part B, Skull Base·Christopher M Low, Janalee K Stokken
Apr 11, 2021·American Journal of Otolaryngology·Wilson P LaoSteve C Lee

❮ Previous
Next ❯

Related Concepts

Related Feeds

Cavernous Hemangioma

Cavernous hemangioma is a blood vessel defect or benign tumor that leads to leakage of blood to the surrounding tissues. This can occur in several organs including the brain, which can lead to seizures. Discover the latest research on cavernous hemangiomas here.