Abstract
An external approach for resection of sinonasal tumors is associated with increased morbidity. Therefore, we employed a modified transnasal endoscopic maxillectomy combined with pre and/or postoperative radiotherapy for early stage maxillary carcinomas. It aims to evaluate our early experience with endoscopic resection of selected malignant sinonasal tumors. The medical and radiology records of patients who underwent endonasal endoscopic resection of malignant sinonasal tumors between 2008 and 2012 were retrospectively reviewed. Ten cases of selected malignant tumor were performed to resect by modified transnasal endoscopic maxillectomy. All the patients were without evidence of disease at a mean follow-up of 26.8 months. No major complications were recorded. The mean hospitalization stay was 6.6 days. In very carefully selected cases of malignant tumors, modified transnasal endoscopic maxillectomy is acceptable. The postoperative complication rate is low, cosmetic outcome is excellent and patients do not require a long hospitalization.
Similar content being viewed by others
References
Le QT, Fu KK, Kaplan M, Terris DJ et al (1999) Treatment of maxillary sinus carcinoma: a comparison of the 1997 and 1977 American Joint Committee on cancer staging systems. Cancer 86:1700–1711
Tiwari R, Hardillo JA, Mehta D et al (2000) Squamous cell carcinoma of maxillary sinus. Head Neck 22:164–169
Wormald PJ, Ooi E, Van Hasselt CA et al (2003) Endoscopic removal of sinonasal inverted papilloma including endoscopic medial maxillectomy. Laryngoscope 113:867–873
Shipchandler TZ, Batra PS, Citardi MJ et al (2005) Outcomes for endoscopic resection of sinonasal squamous cell carcinoma. Laryngoscope 115:1983–1987
Jardeleza C, Seiberling K, Floreani S et al (2009) Surgical outcomes of endoscopic management of adenocarcinoma of the sinonasal cavity. Rhinology 47:354–361
Nicolai P, Castelnuovo P, Bolzoni VA (2011) Endoscopic resection of sinonasal malignancies. Curr Oncol Rep 13:138–144
Thaler ER, Kotapka M, Lanza DC et al (1999) Endoscopically assisted anterior cranial skull base resection of sinonasal tumors. Am J Rhinol 13:303–310
Hatano A, Nakajima M, Kato T et al (2009) Craniofacial resection for malignant nasal and paranasal sinus tumors assisted with endoscope. Auris Nasus Larynx 36:42–45
Orvidas JL, Lewis JE, Weaver AL et al (2005) Adenocarcinoma of the nose and paranasal sinuses: a retrospective study of diagnosis, histologic characteristics, and outcomes in 24 patients. Head Neck 27:370–375
Daly ME, Chen AM, Bucci MK et al (2007) Intensity-modulated radiation therapy for malignancies of the nasal cavity and paranasal sinuses. Int J Radiat Oncol Bio Phys 67:151–157
Van GL, Jorissen M, Nuyts S et al (2011) Long-term follow-up of 44 patients with adenocarcinoma of the nasal cavity and sinuses primarily treated with endoscopic resection followed by radiotherapy. Head Neck 33:898–904
Acknowledgments
SH was supported by a grant from Anhui Provincial Natural Science Foundation (1308085MH131).
Conflict of interest
The authors declared we have no financial relationship with the organization that sponsored the research.
Author information
Authors and Affiliations
Corresponding author
Additional information
This manuscript was presented on 20th IFOS World Congress on June 2013 in Seoul of Korea.
Rights and permissions
About this article
Cite this article
He, S., Bakst, R.L., Guo, T. et al. A combination of modified transnasal endoscopic maxillectomy via transnasal prelacrimal recess approach with or without radiotherapy for selected sinonasal malignancies. Eur Arch Otorhinolaryngol 272, 2933–2938 (2015). https://doi.org/10.1007/s00405-014-3248-3
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00405-014-3248-3