Endoscopic approaches feasible in surgery for sinonasal cancer

(HealthDay)—Endoscopic approaches are feasible for the surgical resection of sinonasal cancer, according to a study published online Dec. 24 in Head & Neck.

Ahmed S. Abdelmeguid, M.D., Ph.D., from the University of Texas MD Anderson Cancer Center in Houston, and colleagues conducted a retrospective review of 239 patients with sinonasal cancer who had endoscopic resection conducted and were followed for a median of 46.6 months. Survival outcomes and surgical complications were examined.

The researchers found that 70 percent and 30 percent of the patients had a pure endonasal endoscopic approach and endoscopic-assisted approach, respectively. Overall, 5.9 percent of patients had postoperative cerebrospinal fluid leakage. In 87.4 percent of patients, negative margins were achieved. The pure endoscopic and endoscopic-assisted groups did not differ significantly in terms of margin status (P = 0.682). Between the groups there was no significant difference in survival outcomes.

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