Locally advanced maxillary sinus carcinoma controlled by para-latero-nasal approach
| Autor: | Meryem Lahjaouj, Youssef Oukessou, Mohammed Mahtar, Mohammed Roubal, S. Halily, Redallah Abada |
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| Rok vydání: | 2021 |
| Předmět: |
Nasal cavity
medicine.medical_specialty Maxillary sinus medicine.medical_treatment Endoscopic surgery Case Report 03 medical and health sciences 0302 clinical medicine Ethmoid sinus Squamous cell carcinoma Cranio-orbital MRI External approach otorhinolaryngologic diseases medicine Survival rate Local extension Radiotherapy business.industry Incidence (epidemiology) Radiation therapy medicine.anatomical_structure Local control 030220 oncology & carcinogenesis 030211 gastroenterology & hepatology Surgery Radiology business |
| Zdroj: | International Journal of Surgery Case Reports |
| ISSN: | 2210-2612 |
| Popis: | Highlights • Treatment of maxillary sinus carcinoma depends on its local and regional extension. It consists on a complete surgical excision followed most often by radiation therapy. • Surgical excision corresponds to a partial, total, or extended maxillectomy, with resection of the neighboring anatomical structures affected by the tumor. This tumor resection must respect three precise rules: The most complete possible excision of the tumor, adequate excision margins in order to avoid possible recurrence, while combining the most possible aesthetic result. • External approach is a therapeutic alternative when tumor extension does not allow satisfactory endoscopic resection. • Regardless of the surgical approach, maxillary sinus carcinoma has an overall survival rate of 63% at 12 months, 20% at 24 months and 9% at 5 years. Sino-nasal cancers are a rare pathology, with an incidence of 0.2–0.8% of all cancers, and less than 5% of ENT cancers. The site that is most often affected is the maxillary sinus in 35% of cases, followed by ethmoid sinus (30%) and of the nasal cavity in (16%). Several histological variants are described, but squamous cell carcinoma remains the most frequent in the maxillary sinus. Its diagnosis is often late making local control very difficult. Multimodal treatment allows an improvement in the survival rate compared to single treatment. Due to the progress of endoscopic surgery, external surgery is neglected. With this work we want to highlight the value to the external approach, especially in advanced cases. |
| Databáze: | OpenAIRE |
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