Endoscopic transnasal management of sinonasal malignancies – our initial experience

Tomasz Gotlib; Ewa Osuch-Wójcikiewicz; Marta Held-Ziółkowska; Magdalena Kużmińska; Kazimierz Niemczyk

doi:10.5114/wiitm.2014.41619

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Videosurgery and Other Miniinvasive Techniques

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abstract:

Original paper

Endoscopic transnasal management of sinonasal malignancies – our initial experience

Tomasz Gotlib

,

Ewa Osuch-Wójcikiewicz

,

Marta Held-Ziółkowska

,

Magdalena Kużmińska

,

Kazimierz Niemczyk

Videosurgery Miniinv 2014; 9 (2): 131–137

DOI: https://doi.org/10.5114/wiitm.2014.41619

Online publish date: 2014/03/25

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Introduction: Malignant tumors of the paranasal sinuses are traditionally managed through external approaches. Advances in endoscopic transnasal surgery have allowed for the endoscopic treatment of some of these tumors.

Aim: To present the results of treatment of a series of patients with paranasal sinus malignancies treated with an endoscopic approach at a single institution.

Material and methods: The data on tumor type, operative technique, perioperative complications and postoperative course were analyzed.

Results: Eleven patients meeting the inclusion criteria were identified. The histopathology was as follows: malignant melanoma in 3 patients, squamous cell carcinoma in 2, adenocarcinoma in 2, poorly differentiated carcinoma in 1, hemangiopericytoma in 1, adenoid cystic carcinoma in 1 and fibrosarcoma in 1. There were no severe perioperative complications with the exception of 1 case of cerebrospinal fluid leak, which was successfully closed. The mean observation period was 13.5 months. One of the patients died of disease, another was lost to follow-up, and one was reoperated on due to recurrence. The remaining 8 patients are alive with no signs of recurrence.

Conclusions: Our initial experience seems to confirm results obtained by other authors indicating that in selected cases endoscopic surgery of sinonasal malignancies is similarly effective as external approach surgery.

keywords:

Endoscopic transnasal management of sinonasal malignancies – our initial experience

Tomasz Gotlib , Ewa Osuch-Wójcikiewicz , Marta Held-Ziółkowska , Magdalena Kużmińska , Kazimierz Niemczyk

sinonasal malignancy, tumor, paranasal sinuses, endoscopic

Tomasz Gotlib

,

Ewa Osuch-Wójcikiewicz

,

Marta Held-Ziółkowska

,

Magdalena Kużmińska

,

Kazimierz Niemczyk