ORIGINAL ARTICLES   

Italian Journal of Maxillofacial Surgery 2013 April;24(1):41-5

Copyright © 2013 EDIZIONI MINERVA MEDICA

lingua: Inglese

Malignant ethmoidal neoplasms: a cranionasal endoscopy approach

Belli E. ¹, Rendine G. ¹, Mazzone N. ²

¹ Department of Maxillo Facial Surgery, II Faculty of Medicine and Surgery, La Sapienza University, Sant’Andrea Hospital, Rome, Italy; ² Speciality School of Maxillo Facial Surgery, La Sapienza University, Rome, Italy

Craniofacial resection has been adopted worldwide as the standard therapy for tumors of the paranasal sinuses involving the anterior skull base. Recent refinements in endoscopic techniques together with the development of related surgical instruments allows complete radical resection of complex anatomical structures through combined transcranial and endonasal approaches without compromising any oncological principles. We use transcranic nasoendoscopic approach for ethmoid malignant tumors in stage 1 and 2 according with INT staging (12). With this technique, no cutaneous incisions and no approaching osteotomies of facial skeleton are performed. This approach reduces the period of hospitalization and speeds recovery. Furthermore, intraoperative endoscopy facilitates placement of the osteotomies in the optimal position and improves the likelihood of achieving a complete en-bloc resection with removal of all disease hitherto obscured from vision. It represents the choice indication to increase precocious post-surgery radiotherapy possibilities.