Emerging Trends & Techniques Related to Treatment in Patients with intra – Conal Cavernous Hemangioma of the Orbit(OCH)/orbital Cavernous Malformation (OCVM) and Treatment related Complications, A Systematic Review

Saniya Seher, Shenel A.Khan, Sonya Mounien, Vivig Shantha, Rasheek Kumar, Basim Nerella, Dev Shaman, Jabez Patel, Ranita John, Safeera Bodepudi, Ahmed
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Abstract

Orbital Cavernous venous malformation (OCVM), formerly known as cavernous hemangioma of the orbit (OCH) is a frequent benign, slow-growing, non distensible venous malformation with ISSVA classification which classifies it into different types. This research has employed randomized controlled trials (RCTs), case reports, retrospective case studies, systematic reviews, and cohort studies to evaluate the treatment choices for OCVM and its consequences. The goal of this review is to analyze the comprehensive therapies used for OCVM. For our literature search, we looked at PubMed/MEDLINE, PubMed Central and Cochrane across six years (from 2016 to 2021). Using the Cochrane risk of bias quality assessment tool, the found studies underwent a quality check (modified Cochrane RoB 2). For the reporting of this systematic review, we adopted preferred reporting items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 criteria and included a total of 10 papers. The majority of research confirmed the accuracy of OCVM detection using MRI and CT. To evaluate the effects of the intervention on OCVM more precisely, more trials with a longer follow-up time are needed. This study will explore recommendations and guide orbital surgeons, regardless. It will aid in the development of future strategies involving both invasive and noninvasive procedures to close the surgical and complication gap.
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眼眶内海绵状血管瘤(OCH)/眶海绵状畸形(OCVM)患者治疗的新趋势和新技术以及治疗相关并发症,系统综述
眼眶海绵状静脉畸形(OCVM),以前称为眼眶海绵状血管瘤(OCH),是一种常见的良性、生长缓慢、不扩张的静脉畸形,ISSVA将其分为不同类型。这项研究采用随机对照试验(RCT)、病例报告、回顾性病例研究、系统综述和队列研究来评估眼眶血管瘤的治疗选择及其后果。本综述的目的是分析用于治疗 OCVM 的综合疗法。在文献检索中,我们查阅了 PubMed/MEDLINE、PubMed Central 和 Cochrane,时间跨度为六年(从 2016 年到 2021 年)。利用 Cochrane 偏倚风险质量评估工具,对所发现的研究进行了质量检查(修改后的 Cochrane RoB 2)。在报告本系统综述时,我们采用了 2020 年系统综述和元分析首选报告项目(PRISMA)标准,共纳入了 10 篇论文。大多数研究证实了使用 MRI 和 CT 检测 OCVM 的准确性。为了更精确地评估干预对 OCVM 的影响,需要更多随访时间更长的试验。无论如何,这项研究都将为眼眶外科医生提供建议和指导。它将有助于制定涉及侵入性和非侵入性手术的未来策略,以缩小手术和并发症的差距。
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