The Selective Role of Open and Endoscopic Approaches for Sinonasal Malignant Tumours
López, Fernando (Instituto Universitario de Oncología del Principado de Asturias)
Shah, Jatin P. (Sechenov University)
Beitler, Jonathan J. (Maine General Hospital)
Snyderman, Carl H. (University of Pittsburgh School of Medicine)
Lund, Valerie (The Royal National Throat Nose and Ear Hospital. UCLH Foundation Trust)
Piazza, Cesare (University of Brescia (Itàlia))
Mäkitie, Antti A. (Helsinki University Hospital)
Guntinas-Lichius, Orlando (Jena University Hospital (Alemanya))
Rodrigo, Juan P. (Instituto Universitario de Oncología del Principado de Asturias)
Kowalski, Luiz P. (University of São Paulo Medical School. Department of Head and Neck Surgery)
Quer, Miquel (Institut d'Investigació Biomèdica Sant Pau)
Shaha, Ashok (Memorial Sloan-Kettering Cancer Center (Nova York, Estats Units d'Amèrica))
Homma, Akihiro (Hokkaido University. Graduate School of Medicine)
Sanabria, Alvaro (CEXCA Centro de Excelencia en Enfermedades de Cabeza y Cuello)
Ferrarotto, Renata (The University of Texas MD Anderson Cancer Center)
Lee, Anne W.M. (The University of Hong Kong-Shenzhen Hospital. Clinical Oncology Center)
Lee, Victor H.F. (The University of Hong Kong-Shenzhen Hospital. Clinical Oncology Center)
Rinaldo, Alessandra (University of Udine School of Medicine)
Ferlito, Alfio (International Head and Neck Scientific Group)

Date:	2022
Abstract:	Endoscopic endonasal surgery has been demonstrated to be effective in the treatment of selected cases of sinonasal cancers. However, in cases of locally advanced neoplasms, as well as recurrences, the most appropriate approach is still debated. The present review aims to summarize the current state of knowledge on the utility of open approaches to resect sinonasal malignant tumours. Published comparative studies and meta-analyses suggest comparable oncological results with lower morbidity for the endoscopic approaches, but selection biases cannot be excluded. After a critical analysis of the available literature, it can be concluded that endoscopic surgery for selected lesions allows for oncologically safe resections with decreased morbidity. However, when endoscopic endonasal surgery is contraindicated and definitive chemoradiotherapy is not appropriate, craniofacial and transfacial approaches remain the best therapeutic option.
Rights:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original.
Language:	Anglès
Document:	Article de revisió ; recerca ; Versió publicada
Subject:	Craniofacial Resection ; Endoscopy ; Maxillectomy ; Paranasal Sinus Cancer ; Sinonasal Malignant Tumours ; Skull Base
Published in:	Advances in Therapy, Vol. 39 Núm. 6 (june 2022) , p. 2379-2397, ISSN 1865-8652

DOI: 10.1007/s12325-022-02080-x
PMID: 35352310

19 p, 630.3 KB

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