Endoscopic Management of Benign Sinonasal Tumors: A Decade of Experience

London, Scott D.; Schlosser, Rodney J.; Gross, Charles W.

doi:10.1177/194589240201600408

Cited by 64 publications

(68 citation statements)

References 28 publications

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“…Endoscopic approaches provide excellent visualization and tumor resection, while avoiding external facial incisions and complications associated with such techniques. Most previous series reporting on endoscopic resection of sinonasal neoplasms have focused upon inverted papilloma or other benign neoplasms, with recurrence rates of 10-20% [1,2] .…”

Section: Discussionmentioning

confidence: 99%

“…As experience with endoscopic surgery grows, it is being increasingly applied to neoplastic disease of the sinuses [1] . While most reports have dealt with endoscopic resection of inverted papilloma [2] , there have been few case reports describing endoscopic resection of vascular neoplasms, and most of these have described endoscopic resection of juvenile nasopharyngeal angiofi bromas [3][4][5][6] .…”

Section: Introductionmentioning

confidence: 99%

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Endoscopic Resection of Sinonasal Hemangiomas and Hemangiopericytomas

Schlosser

Woodworth²,

Gillespie³

et al. 2006

ORL

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Introduction: Endoscopic resection of benign neoplasms, such as inverted papilloma, has been well described. There are limited case reports of endoscopic resection of benign vascular tumors, including hemangiomas, or those with low-grade malignant potential, such as hemangiopericytomas. Methods: Retrospective review of sinonasal hemangiomas and hemangiopericytomas resected endoscopically at a single tertiary-care facility. Results: Three hemangiomas and 3 hemangiopericytomas were resected endoscopically with no recurrences at a mean follow-up of 22 months. Four tumors involved the skull base; 2 of these underwent preoperative embolization. One patient had a CSF leak that occurred as the tumor was removed from the cribriform plate and that was successfully repaired intraoperatively. The average size of the tumors was 5.8 cm × 2.7 cm with all tumors at least 2.5 cm in greatest dimension by computed tomography or magnetic resonance imaging. The largest tumor was 12 cm in greatest dimension. An average of 8 intraoperative frozen section margins was taken around 5 tumors, with all margins of each tumor clear on final pathology. Patients included 4 males and 2 females with an average age of 47 years. Conclusion: Large vascular neoplasms of the sinonasal cavity, such as hemangiomas and hemangiopericytomas, can be safely removed using endoscopic techniques. Although these patients have a limited follow-up, it is prudent to perform long-term endoscopic follow-up in order to detect recurrences regardless of resection technique.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Endoscopic Resection of Sinonasal Hemangiomas and Hemangiopericytomas

Schlosser

Woodworth²,

Gillespie³

et al. 2006

ORL

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“…compression of the optic nerve or chronic rhinosinusitis [2,7,8]. On the contrary, radical resection of paranasal ossifying fibromas, particularly fibromas of the juvenile type, is widely considered the treatment of choice due to their locally aggressive behaviour [1,3,[8][9][10][11].…”

Section: Introductionmentioning

confidence: 99%

Paranasal ossifying fibroma: endoscopic resection or wait and scan?

Ledderose

Stelter

Becker

et al. 2011

Eur Arch Otorhinolaryngol

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The ossifying fibroma is a fibro-osseous lesion that rarely occurs in the paranasal sinuses. Due to its tendency to behave locally aggressively, complete resection is generally recommended. A subdivision into the aggressive juvenile ossifying fibroma (JOF) and the less aggressive cemento-ossifying fibroma of the adult (COF) is clinically reasonable. The objective of the study was to retrospectively analyze the management and follow-up of the patients diagnosed with ossifying fibroma at our ENT-department from 2006 to 2010. A total of five patients were included, thereby comprising one of the largest case series of paranasal ossifying fibromas. In three patients an exclusively endoscopically controlled resection was performed. Two patients with asymptomatic COF declined surgery. Within the 2-year follow-up, no progression was detected. While the JOF should always be surgically treated, for the asymptomatic paranasal ossifying fibroma of the adult (COF) a wait-and-scan strategy, similar to that recommended for osteomas or fibrous dysplasia, could be an option in selected cases.

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“…The classic radiologic features of a ground glass appearance make this condition easier to confirm without surgical intervention. Management is generally conservative [12], because many of these lesions have slow growth rates and often slow or regress after puberty.…”

Section: Osteoma and Fibroosseous Lesionsmentioning

confidence: 99%

Expanded Endoscopic Endonasal Approach to Anterior and Ventral Skull Base: An Evolving Paradigm

Gendeh

2013

ISRN Endoscopy

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The transition from external approaches to an endonasal corridor has seen a significant decline in patient morbidity and inpatient care. Our Rhinology and Cranial Base Surgery Group has been able to focus on the management of certain pathologies, endoscopic access to various areas in the skull base, reconstruction of the defect, ensuring that clear anatomical landmarks can be identified during the surgery, and improving the quality of life/function after treatment. The focus on surgical treatment is always to control disease and cure patients by not only reducing recovery time and perioperative morbidity, but also decreasing the long-term impact of having a tumour removed. With a dedicated combined operating theater setting with updated instrumentation, the Neuro-ENT team is able to continue to expand and develop endoscopic care for a greater number of patients and wider range of pathologies. The collaborative Neuro-ENT to work closely via the nose using the two-hole and four-hand technique when performing the operation simultaneously is of added advantage in the diverse and expanding field of cranial base surgery. Our skull base team is joined by expert radiation and medical oncologists who provide essential adjunctive care in the multidisciplinary management of these patients.

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Endoscopic Management of Benign Sinonasal Tumors: A Decade of Experience

Cited by 64 publications

References 28 publications

Endoscopic Resection of Sinonasal Hemangiomas and Hemangiopericytomas

Endoscopic Resection of Sinonasal Hemangiomas and Hemangiopericytomas

Paranasal ossifying fibroma: endoscopic resection or wait and scan?

Expanded Endoscopic Endonasal Approach to Anterior and Ventral Skull Base: An Evolving Paradigm

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