Role of endoscopic surgery in the management of sinonasal and skull base schwannomas
| Autor: | Mario Turri-Zanoni, Apostolos Karligkiotis, Maurizio Bignami, Anna Mercuri, Stefania Freguia, Carla Facco, Paolo Castelnuovo, Andrea Pistochini, Eleonora Sica |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Frontal sinus
medicine.medical_specialty medicine.diagnostic_test business.industry Retrospective cohort study Schwannoma medicine.disease Surgery Endoscopy 03 medical and health sciences Skull 0302 clinical medicine medicine.anatomical_structure Skull Base Neoplasm Otorhinolaryngology Concomitant medicine 030223 otorhinolaryngology business 030217 neurology & neurosurgery Pterygopalatine fossa |
| Zdroj: | Head & Neck. 38:E2074-E2082 |
| ISSN: | 1043-3074 |
| DOI: | 10.1002/hed.24383 |
| Popis: | Background The purpose of this study was to report our experience with the endoscopic management of sinonasal schwannomas, analyzing the advantages, limitations, and outcomes of the technique. Methods A retrospective analysis was carried out on 11 patients treated endoscopically between 2000 and 2014 at a single institution. Results Eight patients underwent an exclusive endoscopic endonasal approach, whereas, in 3 patients, an osteoplastic flap was combined because of massive or lateral frontal sinus involvement. The tumor extended into the orbit in 5 cases, and involved the skull base in 5 patients who required a concomitant endoscopic duraplasty. No evidence of disease was observed in 10 patients after a mean follow-up of 90.1 months (range, 14–189 months). One patient was alive with persistence of disease, although asymptomatic. Conclusion The endoscopic endonasal approach is a valid alternative for the vast majority of sinonasal schwannomas with minimal morbidity for the patient. © 2016 Wiley Periodicals, Inc. Head Neck 38: E2074–E2082, 2016 |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Plný text