Even as an endoscopic approach to malignant sinonasal tumors appears to be increasingly popular, this treatment is stirring debate within the medical community due to the lack of long-term study data showing that the technology is as effective as open surgery.
Explore this issue:May 2009
Open cranial facial resection has been the workhorse for sinonasal tumors for more than 50 years, said Pete Batra, MD, Assistant Professor of Surgery at the Head and Neck Institute and Section Head of Nasal and Sinus Disorders at the Cleveland Clinic Foundation. However, this paradigm shifted about 20 years ago with the introduction of endoscopy to the field of otolaryngology-head and neck surgery.
Over the past decade, endoscopes have been used for orbital and pituitary surgery and the removal of benign tumors such as angiofibromas, osteomas, and inverted papillomas, explained Dr. Batra. This experience has culminated in an endoscopic approach to malignant sinonasal tumors, including those that extend to the anterior skull base, he said.