During the past decade, endoscopic surgical approaches have become readily accepted as the standard of care in the management of medically unresponsive inflammatory disease of the paranasal sinuses. Increasing skill with the use of nasal telescopes, and a better understanding of the complex anatomy of the paranasal sinuses and surrounding orbital and skull base structures, have allowed rhinologic surgeons to extend the applications of endoscopic sinus surgery. Alternative treatment options for the surgical management of a variety of benign lesions of the paranasal sinuses, orbit, and skull base have been advocated. The following paper reviews the recent literature for general opinions regarding endoscopic management of benign neoplasms involving the nose and paranasal sinuses. The clinical results of endoscopic approaches are compared with traditional external surgical approaches. In the hands of experienced and skilled surgeons, endoscopic resection is possible in most cases. Extranasal tumor extension, poor endoscopic visualization, and evidence of malignancy remain contraindications to endoscopic resection. The increasing ability of surgeons to endoscopically repair even moderate-size skull base defects, combined with advancements in technology, such as computer-assisted surgery or powered dissection, will continue to change the limits of endoscopic resection.
|Original language||English (US)|
|Number of pages||5|
|Journal||Current Opinion in Otolaryngology and Head and Neck Surgery|
|State||Published - Feb 8 2001|
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