Resection of inverted papilloma in nasal cavity with transseptal access and crossing multiple incisions minimizes bleeding and reveals the tumor pedicle

Omura, Kazuhiro; Nomura, Kazuhiro; Aoki, Satoshi; Hosokawa, Yu; Tanaka, Yasuhiro; Otori, Nobuyoshi; Kojima, Hiromi

doi:10.1016/j.anl.2019.10.006

Cited by 10 publications

(13 citation statements)

References 15 publications

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“…However, the tumor was resected piecemeal 2 . Although piecemeal endoscopic resection of a malignant sinonasal tumor has not been found to have worse outcomes in terms of local recurrence rate or patient survival than en bloc resection with an open approach, 12 local recurrences and tumor seeding may occur with piecemeal resection 6 . In their series, they used an obturator instead of a soft tissue reconstruction 2 .…”

Section: Discussionmentioning

confidence: 99%

Endoscopic‐assisted total maxillectomy with precise surgical margins

et al. 2022

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In traditional open maxillectomy, identifying the posterior margin is difficult because of its deep location and bleeding from the pterygoid venous plexus. Here, we present our endoscope‐assisted total en bloc maxillectomy technique and discuss its merits and demerits compared to previously reported methods. We developed an endoscope‐assisted total en bloc maxillectomy procedure. We reviewed a series of total maxillectomies performed with and without endoscopic assistance to verify the advantages of endoscopic assistance over conventional total maxillectomy. We analyzed (1) the precision using the distance of the remaining pterygoid process, (2) the operation time, and (3) blood loss. The length of the remnant pterygoid process was significantly shorter in the endoscopic assistance group. The operation time and blood loss were not significantly different between the two groups. Endoscopic assistance makes total maxillectomy more precise without requiring additional time and is a reasonable option for total maxillectomies.

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Section: Discussionmentioning

confidence: 99%

Endoscopic‐assisted total maxillectomy with precise surgical margins

et al. 2022

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Section: Discussionmentioning

confidence: 99%

“…In the present cases, we performed an en bloc resection of NMM of the inferior turbinate using temporal transseptal access, based on previous reports [ 8 , 9 ] with modifications. In the original report, Omura K et al proposed the transseptal access with crossing multiple incisions (TACMI) technique, allowing transposition of the tumor to the intact lateral nasal cavity without a post-operative septal perforation [ 9 ].…”

Section: Discussionmentioning

confidence: 99%

“…A septoplasty is performed to remove the excess bone and cartilage, and anterior vertical and superior horizontal incision lines (on the tumor side) and anterior vertical, posterior vertical, and inferior horizontal incision lines (on the intact side) are made. The risk of subsequent septal perforation is minimal because the two sides' incisions do not cross each other [ 8 , 9 ] (Figure 4A ). Although this technique provides an excellent surgical field of view and working space, one requires adequate surgical skills to make an appropriate mucosal incision on the tumor side, which is usually occupied by the tumor, and bilateral mucosal sutures along the inferior and superior horizontal incisions for septal reconstruction.…”

Section: Discussionmentioning

confidence: 99%

“…However, piecemeal resection has a risk of dissemination, and its adaption to NMM treatment is prudent. In addition, recent studies have suggested that transseptal access could increase the mobility of benign sinonasal tumors and allow en bloc resection [ 8 , 9 ]. Considering these issues, we have come up with the idea of applying a transseptal approach to the resection of malignant tumors.…”

Section: Introductionmentioning

confidence: 99%

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Endoscopic Resection of Nasal Mucosal Melanoma Using Temporary Transseptal Access

Suzuki¹,

Higashi²,

Hemmi³

et al. 2022

Cureus

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Nasal mucosal melanoma (NMM) is a rare tumor with a poor prognosis. Although an endoscopic resection of malignant nasal tumor now becomes a treatment of choice when the surgical margin can be secured, it is still controversial. We report three cases of NMM that was successfully removed en bloc with clear margins by endoscopic surgery with temporal transseptal access. Cases of a 78-year-old woman, an 83-year-old man, and an 81-year-old man with NMM arising from the inferior turbinate who underwent endoscopic resection of the tumor are discussed in detail. We made temporal transseptal access using septal mucosal flaps. We moved the nasal cavity-occupying tumor to the contralateral side to create a working space to perform endoscopic en bloc resections. This technique is simple yet effective and less invasive than open craniofacial resections for removing malignancies arising from the inferior turbinate.

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International Consensus Statement on Allergy and Rhinology: Sinonasal Tumors

Kuan

Wang

Adappa

et al. 2024

Int Forum Allergy Rhinol

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BackgroundSinonasal neoplasms, whether benign and malignant, pose a significant challenge to clinicians and represents a model area for multidisciplinary collaboration in order to optimize patient care. The International Consensus Statement on Allergy and Rhinology: Sinonasal Tumors (ICSNT) aims to summarize the best available evidence and presents 48 thematic and histopathology‐based topics spanning the field.MethodsIn accordance with prior ICAR documents, ICSNT assigned each topic as an Evidence‐Based Review with Recommendations, Evidence‐Based Review, and Literature Review based on level of evidence. An international group of multidisciplinary author teams were assembled for the topic reviews using the Preferred Reporting Items for Systematic Reviews and Meta‐Analyses format, and completed sections underwent a thorough and iterative consensus‐building process. The final document underwent rigorous synthesis and review prior to publication.ResultsThe ICNST document consists of 4 major sections: general principles, benign neoplasms and lesions, malignant neoplasms, and quality of life and surveillance. It covers 48 conceptual and/or histopathology‐based topics relevant to sinonasal neoplasms and masses. Topics with a high level of evidence provided specific recommendations, while other areas summarized the current state of evidence. A final section highlights research opportunities and future directions, contributing to advancing knowledge and community intervention.ConclusionAs an embodiment of the multidisciplinary and collaborative model of care in sinonasal neoplasms and masses, ICSNT was designed as a comprehensive, international, and multidisciplinary collaborative endeavor. Its primary objective is to summarize the existing evidence in the field of sinonasal neoplasms and masses.This article is protected by copyright. All rights reserved

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Resection of inverted papilloma in nasal cavity with transseptal access and crossing multiple incisions minimizes bleeding and reveals the tumor pedicle

Cited by 10 publications

References 15 publications

Endoscopic‐assisted total maxillectomy with precise surgical margins

Endoscopic‐assisted total maxillectomy with precise surgical margins

Endoscopic Resection of Nasal Mucosal Melanoma Using Temporary Transseptal Access

International Consensus Statement on Allergy and Rhinology: Sinonasal Tumors

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