Objective: To describe and analyze outcomes of the "multilayer centripetal technique" and "cranioendoscopic technique" in the treatment of malignancies of the sinonasal tract. Materials and methods: From June 1997 to June 2005, 67 patients with malignant tumors of the sinonasal tract were treated. A total of 49 patients underwent a sole endoscopic endonasal treatment and 18 a cranio-endoscopic treatment. The follow-up lasted from 6 to 108 months. American Joint Committee on Cancer-Union Internationale Contre le Cancer staging was: T1 = 17, T2 = 4, T3 = 9, T4a = 11, and T4b = 16. Esthesioneuroblastoma cases were staged according to Kadish: 3 = A, 4 = B, and 3 = C. All patients underwent surgical therapy but with different therapeutic intent: curative, salvage, or palliative. Results: Statistical analysis showed a 2-year survival rate higher than 80% in all histologic types of tumors, except for melanomas, according to other investigators in the literature. Conclusions: In this preliminary study, the endoscopic technique alone or in association with the cranial approach, in select cases, seems to be an effective method in the treatment of sinonasal tumors.

Endonasal micro-endoscopic treatment of the malignant tumors of paranasal sinuses and anterior skull base.

CASTELNUOVO, PAOLO GIOCONDO MARIA;BATTAGLIA, PAOLO;LOCATELLI, DAVIDE;BIGNAMI, MAURIZIO
2006-01-01

Abstract

Objective: To describe and analyze outcomes of the "multilayer centripetal technique" and "cranioendoscopic technique" in the treatment of malignancies of the sinonasal tract. Materials and methods: From June 1997 to June 2005, 67 patients with malignant tumors of the sinonasal tract were treated. A total of 49 patients underwent a sole endoscopic endonasal treatment and 18 a cranio-endoscopic treatment. The follow-up lasted from 6 to 108 months. American Joint Committee on Cancer-Union Internationale Contre le Cancer staging was: T1 = 17, T2 = 4, T3 = 9, T4a = 11, and T4b = 16. Esthesioneuroblastoma cases were staged according to Kadish: 3 = A, 4 = B, and 3 = C. All patients underwent surgical therapy but with different therapeutic intent: curative, salvage, or palliative. Results: Statistical analysis showed a 2-year survival rate higher than 80% in all histologic types of tumors, except for melanomas, according to other investigators in the literature. Conclusions: In this preliminary study, the endoscopic technique alone or in association with the cranial approach, in select cases, seems to be an effective method in the treatment of sinonasal tumors.
2006
Cranioendoscopic resection; Endoscopic tumor resection; Paranasal sinus neoplasms; Skull base tumors
Castelnuovo, PAOLO GIOCONDO MARIA; Battaglia, Paolo; Locatelli, Davide; G., Del; F., Sberze; Bignami, Maurizio
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11383/1681042
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