Abstract
Sinonasal tumours are a heterogenous entity. Surgery however forms an essential component in the management. This chapter highlights the various open and endoscopic techniques available for the management of these tumours. Expanded endonasal endoscopic procedures can provide access to a wide range of tumours arising in the sinonasal tract and extending to the pterygopalatine fossa, infratemporal fossa and the anterior cranial fossa. These approaches avoid facial incision, disassembly of the facial skeletal framework, brain retraction and provide a direct access to the tumour. This translates into reduced complication rates, shorter duration of hospital-stay and better quality of life. In carefully selected cases, oncological outcomes at par with open approaches can be obtained in case of sinonasal malignancies. Contemporary indications for open approaches are: skin involvement, involvement of the nasal bones, extensive involvement of the orbital fat, extraocular muscles, skin of the eyelid and lacrimal apparatus.
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© 2023 The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd.
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Panda, S., Sikka, K., Thakar, A. (2023). Endonasal and Open Approaches to Sinonasal Tumours. In: Jain, D., Bishop, J.A. (eds) Atlas of Sinonasal Tract Pathology. Springer, Singapore. https://doi.org/10.1007/978-981-19-7315-4_3
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DOI: https://doi.org/10.1007/978-981-19-7315-4_3
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