Ethmoidal adenocarcinoma treated by exclusive endoscopic approach: Focus on learning curve and modification of management

Oker, N.; Vérillaud, Benjamin; Wassef, Michel; Froelich, Sébastien; Bresson, D.; Kania, Romain; Herman, Philippe

doi:10.1002/hed.24990

Cited by 4 publications

(3 citation statements)

References 41 publications

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“…For example, studies performed on the NCDB database have shown that the survival of patients with squamous cell carcinoma of the nasal cavity is increased in the center with a large track record of this type of disease [140] and that centers treating more than two patients per year were associated with a higher rate of clear margins [42]. It has been shown that surgical experience may be associated with increased overall survival and local control in patients treated endoscopically for sinonasal adenocarcinoma [92,141]. Similarly, several retrospective studies have shown a decrease in CSF leak rates after endoscopic skull base reconstruction with increased surgeon experience [142,143].…”

Section: Surgeon-related Criteriamentioning

confidence: 99%

Surgical Management of Sinonasal Cancers: A Comprehensive Review

Chatelet

Simon

Bedarida

et al. 2021

Cancers

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Surgery plays an important role in the treatment of sinonasal cancer. Many surgical approaches have been described, including open, endoscopic, or combined approaches. The choice is based on several criteria: general criteria related to the oncological results and morbidity of each technique, specific criteria related to the tumor (tumor extensions, tumor pathology), the patient, or the surgeon himself. The aims of this review are (i) to provide a complete overview of the surgical techniques available for the management of sinonasal malignant tumors, with a special focus on recent developments in the field of transnasal endoscopic surgery; (ii) to summarize the criteria that lead to the choice of one technique over another. In particular, the oncological outcomes, the morbidity of the different techniques, and the specificities of each histologic subtype will be discussed based on a comprehensive literature review.

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Section: Surgeon-related Criteriamentioning

confidence: 99%

Surgical Management of Sinonasal Cancers: A Comprehensive Review

Chatelet

Simon

Bedarida

et al. 2021

Cancers

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Section: Toward Endoscopic Resectionmentioning

confidence: 99%

“…Finally, endoscopic endonasal surgery has consistently shown similar efficiency in tumor control and less morbidity, leading to reduced hospital stay compared with open surgery [16,19,20], although a surgical learning curve is observed [21,22]. Advances in in-room imaging using surgical navigation systems can help surgeons peroperatively [23] and might further improve the rate of safe margins, thus improving oncologic outcomes.…”

Section: Toward Endoscopic Resectionmentioning

confidence: 99%

Precision Postoperative Radiotherapy in Sinonasal Carcinomas after Endonasal Endoscopic Surgery

Thariat

Carsuzaa

Marcy³

et al. 2021

Cancers

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Radiotherapy plays an important role in the treatment of sinonasal cancer, mainly in the adjuvant setting after surgical resection. Many technological approaches have been described, including intensity-modulated radiotherapy, concomitant chemoradiotherapy, charged particle therapy or combined approaches. The choice is based on general criteria related to the oncological results and morbidity of each technique and their availability, as well as specific criteria related to the tumor (tumor extensions, pathology and quality of margins). The aims of this review are: (i) to provide an overview of the radiotherapy techniques available for the management of sinonasal malignant tumors and (ii) to describe the constraints and opportunities of radiotherapy owing to the recent developments of endonasal endoscopic surgery. The indication and morbidity of the different techniques will be discussed based on a critical literature review.

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Diagnostic accuracy of computed tomography and magnetic resonance imaging compared to surgical exploration for anterior skull base and medial orbital wall infiltration in advanced sinonasal tumors

et al. 2020

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BackgroundKnowledge of medial orbital wall (MOW) and anterior skull base (ASB) infiltration is of uttermost importance for staging and therapy planning of advanced sinonasal tumors.MethodsWe assessed the diagnostic performance of preoperative computed tomography (CT) and magnetic resonance imaging (MRI) for MOW and ASB infiltration compared to intraoperative exploration.ResultsBoth CT and MRI yielded higher diagnostic accuracy for MOW infiltration (Reader 1: 83.6% CT; 89.0% MRI, Reader 2: 91.8% CT, 93.2% MRI) than for ASB infiltration (Reader 1: 82.2% CT, 82.2% MRI, Reader 2: 67.7% CT, 67.7% MRI). Both modalities were equal to the gold standard, except for ASB assessment by Reader 2 with MRI. A postoperative change of T classification is common (Reader 1: 28.8%, Reader 2: 31.5%).ConclusionsCT and MRI are accurate methods for the assessment of MOW infiltration. ASB assessment is challenging and false‐positive and false‐negative findings are common with both methods, emphasizing the need for intraoperative exploration.

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Ethmoidal adenocarcinoma treated by exclusive endoscopic approach: Focus on learning curve and modification of management

Abstract: Background: The purpose of this study was to investigate the outcome and recurrences for ethmoidal adenocarcinomas treated by exclusive endoscopic surgery in curative intent and investigate the role of the learning curve.

Cited by 4 publications

References 41 publications

Surgical Management of Sinonasal Cancers: A Comprehensive Review

Surgical Management of Sinonasal Cancers: A Comprehensive Review

Precision Postoperative Radiotherapy in Sinonasal Carcinomas after Endonasal Endoscopic Surgery

Diagnostic accuracy of computed tomography and magnetic resonance imaging compared to surgical exploration for anterior skull base and medial orbital wall infiltration in advanced sinonasal tumors

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