Surgical outcomes of endoscopic management of adenocarcinoma of the sinonasal cavity
Volume: 47 - Issue: 4
First page: 354 - Last page: 361
C. Jardeleza - K. Seiberling - S. Floreani - P.J. Wormald
DOI: 10.4193/Rhin08.222
Objective: To report the surgical outcomes of endoscopic resection of adenocarcinomas of the Sinonasal cavity.
Methods: Retrospective chart review 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.
Rhinology 47 - 4: 354-361, 2009
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