Endonasal endoscopic surgery for sinonasal squamous cell carcinoma from an oncological perspective

被引:13
作者
Homma, Akihiro [1 ,2 ]
Nakamaru, Yuji [1 ,2 ]
Lund, Valerie J. [3 ]
Hanna, Ehab Y. [4 ]
Kowalski, Luiz Paulo [5 ,6 ]
Toledo, Ronaldo Nunes [6 ]
Makitie, Antti A. [7 ,8 ]
Rodrigo, Juan Pablo [9 ]
Rinaldo, Alessandra [10 ]
Snyderman, Carl H. [11 ]
Ferlito, Alfio [12 ]
机构
[1] Hokkaido Univ, Fac Med, Dept Otolaryngol Head & Neck Surg, North 15 West 7, Sapporo, Hokkaido 0608638, Japan
[2] Hokkaido Univ, Grad Sch Med, North 15 West 7, Sapporo, Hokkaido 0608638, Japan
[3] UCLH Fdn Trust, Royal Natl Throat Nose & Ear Hosp, London, England
[4] Univ Texas MD Anderson Canc Ctr, Dept Head & Neck Surg, Houston, TX 77030 USA
[5] Univ Sao Paulo, Med Sch, Div Head & Neck Surg, Sao Paulo, Brazil
[6] AC Camargo Canc Ctr, Dept Head & Neck Surg & Otolaryngol, Sao Paulo, Brazil
[7] Univ Helsinki, Dept Otorhinolaryngol Head & Neck Surg, Helsinki, Finland
[8] HUS Helsinki Univ Hosp, Helsinki, Finland
[9] Univ Oviedo, Hosp Univ Cent Asturias, Dept Otolaryngol, ISPA,IUOPA,CIBERONC, Oviedo, Spain
[10] Univ Udine, Sch Med, Udine, Italy
[11] Univ Pittsburgh, Sch Med, Dept Otolaryngol, Pittsburgh, PA USA
[12] Int Head & Neck Sci Grp, Padua, Italy
关键词
Squamous cell carcinoma; Endonasal endoscopic surgery; Nasal cavity; Paranasal sinus; Sinonasal;
D O I
10.1016/j.anl.2020.11.018
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
Endonasal endoscopic surgery (EES) has been applied to the management of sinonasal (SN) tumors based on recent advances in endoscopic surgical techniques and technologies over the past three decades. EES has been mainly indicated for benign tumors and less aggressive malignant tumors. Notwithstanding this, EES has been gradually adopted for squamous cell carcinoma (SCC), which is the most common histology among SN malignancies. However, an analysis of the outcomes of EES for patients with SCC is difficult because most articles included SCC a wide range of different tumor histologies. Therefore, we herein review and clarify the current status of EES focusing on SCC from an oncological perspective. The oncologic outcomes and the ability to achieve a histologically complete resection are similar between endoscopic and open approaches in highly selected patients with SN-SCC. Surgical complications associated with EES are likely similar for SN-SCC compared to other sinonasal malignancies. The indications for a minimally invasive approach such as EES in the management of patients with SN-SCC should be stricter than those for less aggressive malignant tumors because of the aggressive nature of SCC. Also, it is important to achieve negative surgical margins with EES in patients with SCC. We believe that the indications for EES for SN-SCC are widening due to advances in diagnostic imaging, and endoscopic surgical techniques and technologies. However, while expanding the indications for EES for SN-SCC we must carefully confirm that the outcomes support this strategy. (c) 2020 Oto-Rhino-Laryngological Society of Japan Inc. Published by Elsevier B.V. All rights reserved.
引用
收藏
页码:41 / 49
页数:9
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