Resection of Anterior Skull Base Tumors: Comparison of Combined Traditional and Endoscopic Techniques

Batra, Pete S.; Citardi, Martin J.; Worley, Sarah; Lee, Joung; Lanza, Donald C.

doi:10.1177/194589240501900517

Cited by 116 publications

(166 citation statements)

References 22 publications

Supporting

Mentioning

149

Contrasting

Unclassified

Order By: Relevance

“…Ever since the advent of nasal endoscopic surgeries [13] and its exploration in the field of oncological surgeries, much has been debated and currently consensus is to use it in early staged diseases and in advanced stage for debulking [14]. Issues of piecemeal resection-tumour spillage and adequacy of margin, during endoscopic surgeries have been discussed by Bogaerts et al [15] and endoscopic resection has been concluded to be safe in terms of disease clearance and overall survival with reduced morbidity, in selected cases like carcinomas of ethmoids without intradural extension, similar results have been replicated by Arnold et al [16].…”

Section: Discussionmentioning

confidence: 99%

Sinonasal Malignancies: Long Term Follow Up After Surgical Management—An Analysis of Outcomes

Devaraja

Sikka

Kumar

et al. 2014

Indian J Otolaryngol Head Neck Surg

View full text Add to dashboard Cite

Sinonasal malignancies are rare and survival analysis in affected patients is arduous and perplexing due to various factors. In this review article, attempt has been made to overcome some of those factors while analysing survival outcomes. Aims and objectives: The aim of this study was to share the experience of a tertiary care centre in the surgical management of sinonasal malignancies over 12 years. Materials and Methods: This study is a retrospective chart review, and in this study, hospital records of 58 patients with biopsy proven sinonasal malignancies were studied. Only the patients undergoing primary or salvage surgery at our institution from May-2000 to April-2012 with a minimum follow up of 2 years were included. Statistical analyses such as means, proportions, KaplanMeier analysis and Cox's regression model were done. Results: Majority of the patients were males (n = 43) belonging to fourth and fifth decades. Squamous cell carcinoma was the most common (n = 17) histopathological type, followed by adenoid cystic carcinoma (n = 14). Majority presented with stage IV disease (n = 42). 17 patients were operated for recurrent disease. Over all 5 year survival was 72 % and disease free survival was 44 %. Separate analysis for epithelial and matched nonepithelial group showed poorer prognosis with epithelial group (p = 0.0120). Multivariate analysis showed histopathological type (epithelial) and presence of pathological risk factors (positive margins and/or perineural invasion) affecting survival. Conclusions: Advanced stage presentation is the norm for sinonasal malignancies. This study noted a 5 year overall survival of 72 % and disease free survival of 44 %. Epithelial histopathology carries poorer prognosis then other counterparts and incomplete removal is shown to add to poor prognosis independently.

show abstract

Section: Discussionmentioning

confidence: 99%

Sinonasal Malignancies: Long Term Follow Up After Surgical Management—An Analysis of Outcomes

Devaraja

Sikka

Kumar

et al. 2014

Indian J Otolaryngol Head Neck Surg

View full text Add to dashboard Cite

show abstract

“…Recent studies with small samples have suggested that endoscopic resections are at least as efficacious as open approaches with decreased morbidity as well the theoretical advantages of a possible decrease in intensive care unit and overall hospital stay [7,9] .…”

mentioning

confidence: 99%

“…Initial authors described skull base surgery in the context of continued bifrontal craniotomy, sparing the cosmetic effects of a facial incision [4][5][6] . More recent authors have described entirely endoscopic techniques, sparing both facial incisions and the morbidity of craniotomy [7][8][9][10][11][12] . Avoidance of piecemeal techniques is a theoretical advantage of CFR over endoscopic techniques.…”

mentioning

confidence: 99%

Endoscopic Resection of Advanced Anterior Skull Base Lesions: Oncologically Safe?

Cohen

Liang²,

Cohen³

et al. 2009

ORL

View full text Add to dashboard Cite

Aims: (1) Learn if margins of resection in advanced anterior skull base tumors that are resected via endoscopic-assisted means are comparable with traditional craniofacial resection (CFR). (2) Understand the difference in patient morbidity with endoscopic surgery compared to traditional CFR. Methods: Retrospective review of 41 patients undergoing surgery for comparably staged advanced malignancies of the anterior skull base between 2000 and 2006. Eighteen patients underwent endoscopic surgery and 23 patients underwent traditional CFR for American Joint Committee on Cancer stage III, IV or Kadish stage C lesions of the paranasal sinuses and anterior skull base. Margins were evaluated and follow-up ranged from 3 months to 5 years. Results: Of the 18 patients undergoing endoscopic resections, margins were positive/close in 17% (3/18). Margins were positive/close in 17% (4/23) of patients undergoing CFR. Five complications were seen in 4/18 patients (22%) undergoing endoscopic surgery and 11 postoperative complications were seen in 7/23 patients (30%) undergoing CFR. Mean duration of hospitalization was 5.22 and 7.17 days for the endoscopic and CFR groups, respectively. Conclusions: There does not appear to be increased risk of positive margins in patients with advanced lesions undergoing endoscopic-assisted resection. Furthermore, the incidence of morbidity and duration of stay may be improved with endoscopic techniques.

show abstract

“…Many other neoplasms involving the anterior skull base have been approached through the endonasal route such as esthesioneuroblastomas (Suriano et al, 2007), nasopharyngeal fibromas and carcinomas (Batra et al, 2005).…”

Section: Anterior Skull Base Neoplasmsmentioning

confidence: 99%

Endoscopic Endonasal Skull Base Surgery: Current State of the Art and Future Trends

Jouanneau¹,

Messerer²,

Berhouma³

2011

Advances in Endoscopic Surgery

View full text Add to dashboard Cite

Resection of Anterior Skull Base Tumors: Comparison of Combined Traditional and Endoscopic Techniques

Cited by 116 publications

References 22 publications

Sinonasal Malignancies: Long Term Follow Up After Surgical Management—An Analysis of Outcomes

Sinonasal Malignancies: Long Term Follow Up After Surgical Management—An Analysis of Outcomes

Endoscopic Resection of Advanced Anterior Skull Base Lesions: Oncologically Safe?

Endoscopic Endonasal Skull Base Surgery: Current State of the Art and Future Trends

Contact Info

Product

Resources

About