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Article
Surgical outcomes of endoscopic management of adenocarcinoma of the sinonasal cavity
Rhinology (2009)
  • C Jardeleza
  • K Seiberling
  • S Floreani
  • Peter-John Wormald
Abstract
Objective: To report the surgical outcomes of endoscopic resection of adenocarcinomas of the sino-nasal cavity. Methods: Retrospective chart reviews of patients presenting with adenocarcinoma of the anterior skull base between 1998-2008. All patients who underwent wholly endoscopic resection were included in the study. Results: twelve patients presented with adenocarcinoma involving the sino-nasal cavity. At diagnosis 6 patients were staged as a T2, 5 as a T3 and one as a T4. All of the patients had successful removal of the tumour entirely endoscopically. Three patients recurred: 2 locally and 1 with distant metastases. Overall, 11 patients are alive and free of disease and 1 patient dead of disease. We found an overall disease free survival rate and overall survival rate of 91.6%. the follow-up period ranged from 10 to 96 months with a median of 30 months. Conclusion: Endoscopic management of adenocarcinoma of the sino-nasal cavity can be a viable treatment option to craniofacial resection. With the advancement in endoscopic equipment and surgeon skill, larger tumours may be managed wholly endoscopically.
Keywords
  • adenocarcinoma,
  • endonasal,
  • craniofacial resection,
  • sinus surgery,
  • anterior skull base,
  • modified lothrop,
  • ethmoid,
  • olfactory fossa
Publication Date
2009
Citation Information
C Jardeleza, K Seiberling, S Floreani and Peter-John Wormald. "Surgical outcomes of endoscopic management of adenocarcinoma of the sinonasal cavity" Rhinology Vol. 47 Iss. 4 (2009)
Available at: http://works.bepress.com/peterj_wormald/26/