Revista de Oncología Integrativa

Head and Neck 2018 - Management of sinonasal neoplasms: Endoscopic versus external approaches

Abstract

Maryam Mohd Fatma Matar

Tumors of the paranasal sinuses include a wide spectrum of pathologic conditions with variety of presentations and prognosis. Despite surgical excision, local recurrence is high. Recent progresses in the treatment of nasal and paranasal sinus tumors have evolved to the minimally invasive endoscopic surgery as the exclusive management for most cases of benign tumors and as a hybrid method in most cases of malignant tumors. In endoscopic hybrid group, the endoscope entered liberally through the open accesses to give the maximum view and reduce recurrences. In this presentation, endonasal endoscopic surgery for sinonasal neoplasms will be discussed, emphasizing advantages, disadvantages and recent advances in this field. Endoscopic surgical resection could enhance complete tumor removal by providing excellent magnified and angled view, with or without complementary approaches. It could be accomplished not only by endonasal routes, but also as hybrid with open approached to enhance the accuracy and vision. Image guided surgery could help to make a safe surgery with more confidence in tumor removal.