Outcome results of endoscopic vs craniofacial resection of sinonasal malignancies: a systematic review and pooled‐data analysis

Higgins, Thomas S.; Thorp, Brian D.; Rawlings, Brad A.; Han, Joseph K.

doi:10.1002/alr.20051

Cited by 72 publications

(82 citation statements)

References 25 publications

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“…A systematic review of the literature by Higgins et al (24) on the results of craniofacial versus endoscopic resection of sinonasal malignancies revealed that endoscopic management of sinonasal cancers appears to be a promising approach in treatment of low-staged esthesioneuroblastomas and adenocarcinomas. In the present study, 85% of patients were treated with craniofacial resection.…”

Section: Discussionmentioning

confidence: 99%

Paranasal sinuses malignancies: A 12-year review of clinical characteristics

Danesh-Sani

Sarafraz²,

Chamani³

et al. 2016

Med Oral

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BackgroundInadequate epidemiologic investigations of the paranasal sinuses malignancies prompted this retrospective study with special emphasis on a major group of 111 tumors.Material and MethodsClinical records of 111 patients with histologically confirmed malignant tumors of the paranasal sinuses were investigated retrospectively from April 2000 to January 2012. Collection of data included demographic information, clinical manifestations, treatment plans, and histopathology of the tumor.ResultsThere were 69 (62.16%) male and 42 (37.83%) female patients (male-to-female ratio of 1.6:1), with a median age of 49±12.2 years (range 21 to 88 years). A high level of occurrence was noticed in the fifth (26.3%) decade of life. The most frequent histological types were squamous cell carcinoma (43.5%) and adenoid cystic carcinoma (19%). Among clinical manifestations, nasal obstruction was the most frequent followed by diplopia, and facial swelling. Fifty three patients (47.74%) were treated with combined approach of surgery and radiation therapy.ConclusionsParanasal sinuses malignancies are rare conditions with nonspecific symptoms which make early diagnosis of the lesions more challenging. The optimal therapeutic protocol for patients suffering from these tumors is still a somewhat controversial entity and requires further studies. Key words:Paranasal sinuses, malignancy, surgery,radiotherapy.

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Section: Discussionmentioning

confidence: 99%

Paranasal sinuses malignancies: A 12-year review of clinical characteristics

Danesh-Sani

Sarafraz²,

Chamani³

et al. 2016

Med Oral

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“…Several reviews and meta‐analyses comparing outcomes between endoscopic and open CFRs have shown at least equivalent survival data. A systematic review and pooled‐data analysis of 226 patients demonstrated that there was no difference in survival outcomes between endoscopic and traditional CFR for T1 and T2 sinonasal malignancies . Patients in this study were identified from 15 case studies reporting outcomes for esthesioneuroblastoma, adenocarcinoma, and sinonasal undifferentiated carcinoma.…”

Section: Comparison Of Endoscopic Versus Traditional Cfrmentioning

confidence: 99%

“…Complications of open or endoscopic approaches include cerebrospinal fluid leaks and sequalae, cranial nerve injuries, and hemorrhage. Open and CEA approaches have additional morbidity associated with performing a craniotomy . Additionally, the EEA avoids facial incisions and potential cosmetic issues that arise from lateral rhinotomy and coronal incisions.…”

Section: Introductionmentioning

confidence: 99%

Sinonasal malignancies: Endoscopic treatment outcomes

Carlton

Beahm

Chiu

2019

Laryngoscope Investig Oto

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Sinonasal malignancies are rare and heterogeneous cancers located adjacent to critical neurovascular structures. Proximity to the orbit, brain, cranial nerves, and carotid arteries make surgical resection technically challenging and potentially morbid. The gold standard surgical procedure for these cancers has traditionally been the open craniofacial resection. Endoscopic endonasal approaches emerged in the last two decades as a viable alternative for carefully selected patients. The rarity and heterogeneity of the cancers precludes randomized controlled trials. Evidence for surgical approaches is based on case series and multi‐analyses. Current evidence demonstrates that endoscopic approaches do not compromise survival and have lower complication rates. This article provides an update of the current literature examining outcomes for the endoscopic treatment of sinonasal malignancies.

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“…Малое количество наблюдений не позволяет сделать вывод о целе-сообразности лучевого лечения у этой категории пациентов. Отдельные исследователи утверждают, что эндоназальное удаление опухоли на ранних стадиях не только положительно сказывается на качестве жизни, но и не ухудшает онкологического прогноза [1,11]. У 3 из 4 пациентов с распространением ЭНБ в полость черепа выполнено трансназальное эндоскопическое удаление опухоли, при котором в 2 случаях потребовалось проведение пластики дефекта твердой мозговой оболочки.…”

Section: Discussionunclassified

“…Лечение пациентов с ЭНБ включает химиотерапию, лучевую терапию и хирургическое вмешательство. При опухоли, локализованной в полости носа и решетчатом лабиринте (I, II стадия по TNM и А-стадия по Kadish-Morita), проводится, преимущественно, эндоскопическое трансназаль-ное удаление [11]. Химиотерапевтическое лечение назначается как в неоадъювантном режиме, так и в послеоперационном периоде при распростра-ненных стадиях опухоли.…”

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