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Endoscopic resection of malignant sinonasal tumours with or without chemotherapy and radiotherapy

Published online by Cambridge University Press:  21 August 2012

I Tojima ,
T Ogawa ,
H Kouzaki ,
S Seno ,
M Shibayama  and
T Shimizu
I Tojima*
Affiliation:
Department of Otorhinolaryngology, Shiga University of Medical Science, Otsu, Japan
T Ogawa
Affiliation:
Department of Otorhinolaryngology, Shiga University of Medical Science, Otsu, Japan
H Kouzaki
Affiliation:
Department of Otorhinolaryngology, Shiga University of Medical Science, Otsu, Japan
S Seno
Affiliation:
Department of Otorhinolaryngology, Shiga University of Medical Science, Otsu, Japan
M Shibayama
Affiliation:
Department of Otorhinolaryngology, Shiga University of Medical Science, Otsu, Japan
T Shimizu
Affiliation:
Department of Otorhinolaryngology, Shiga University of Medical Science, Otsu, Japan
*
Address for correspondence: Dr Ichiro Tojima, Department of Otorhinolaryngology, Shiga University of Medical Science, Seta-Tsukinowa, Otsu, Shiga 520-2192, Japan Fax: +81 (0)77 548 2783 E-mail: itirotz@hotmail.com
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Abstract

Objective:

An increasing number of transnasal endoscopic surgical procedures are being performed, and these procedures are now also utilised in the management of malignant sinonasal tumours. This study aimed to evaluate the outcome of endoscopic resection of sinonasal malignancies, with or without chemotherapy and radiotherapy.

Methods:

Between 2000 and 2009, six patients with sinonasal malignancies (diagnosed on pre-operative biopsy) underwent endoscopic resection at our hospital. The histopathological diagnoses varied and included squamous cell carcinoma, olfactory neuroblastoma, chordoma, extramedullary plasmacytoma and haemangiopericytoma.

Results:

Surgical resection was combined with chemotherapy and/or radiotherapy in four cases. The mean follow-up period was 43 months. One patient suffered local recurrence of chordoma, 84 months after the first operation, but this was successfully treated with proton beam radiotherapy.

Conclusion:

These results suggest that endoscopic resection may be a valid alternative to conventional resection in selected cases of malignant sinonasal tumour.

Keywords

Surgical Navigation SystemParanasal SinusesNeoplasma MalignantEndoscopic Surgery
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 126 , Issue 10 , October 2012 , pp. 1027 - 1032
Copyright
Copyright © JLO (1984) Limited 2012

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