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Publication
Cirurgia endoscópica em tumores nasosinusais: experiência do IPOLFG
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Advisor(s)
Abstract(s)
Introdução: Os tumores nasais são, classicamente, abordados
pela via externa mas recentemente tem-se optado, também,
pela via endoscópica. No entanto, em tumores localmente
avançados, poderá não ser possível a remoção completa.
Material e métodos: Foram analisados os processos clínicos
dos 14 doentes com tumor das fossas nasais removido por via
endoscópica no IPOLFG entre 2005 e 2012.
Resultados: Dos 14 doentes, 8 apresentavam tumor maligno
e 5 tumor benigno. Não houve preponderância de nenhum
tipo histológico. 7 doentes realizaram RT adjuvante e 1 foi
submetido a esvaziamento ganglionar cervical ipsilateral.
Foram registadas 2 complicações cirúrgicas: 1 fístula de
LCR e 1 complicação minor. Apenas 2 doentes recidivaram,
recorrendo-se à via externa em 1.
Conclusões: A abordagem de tumores nasais por via
endoscópica é uma opção eficaz mas é necessária uma correta
avaliação da extensão tumoral para decisão da via cirúrgica a
utilizar, para remoção completa e obtenção de margens livres.
Introduction:The nasal tumors are classically addressed by external but, recently, also endoscopically. However, in locally advanced tumors, it may not be possible to achieve complete removal. Material and methods: We analyzed the medical records of 14 patients with nasal fossa tumor removed endoscopically in IPOLFG between 2005 and 2012. Results: Of the 14 patients, 8 had malignant tumor and 5 benign. There was no preponderance of any histological type. 7 patients underwent adjuvant RT and 1 underwent ipsilateral cervical lymph node dissection. 3 surgical complications were recorded: 1 CSF fistula and 1 minor complication. Only 2 patients relapsed, with the need to use the external approach in 1. Conclusions: The endoscopic approach to nasal tumors is an effective option but it requires an accurate assessment of tumor extension to decide the approach for complete removal and clear margins.
Introduction:The nasal tumors are classically addressed by external but, recently, also endoscopically. However, in locally advanced tumors, it may not be possible to achieve complete removal. Material and methods: We analyzed the medical records of 14 patients with nasal fossa tumor removed endoscopically in IPOLFG between 2005 and 2012. Results: Of the 14 patients, 8 had malignant tumor and 5 benign. There was no preponderance of any histological type. 7 patients underwent adjuvant RT and 1 underwent ipsilateral cervical lymph node dissection. 3 surgical complications were recorded: 1 CSF fistula and 1 minor complication. Only 2 patients relapsed, with the need to use the external approach in 1. Conclusions: The endoscopic approach to nasal tumors is an effective option but it requires an accurate assessment of tumor extension to decide the approach for complete removal and clear margins.
Description
Keywords
Doenças dos seios perinasais Neoplasias dos seios perinasais Procedimentos cirúrgicos otorrinolaringológicos
Citation
Rev Port Otorrinol Cirur Cerv Fac. 2014;53(1):41-45
Publisher
Sociedade Portuguesa de Otorrinolaringologia e Cirurgia Cérvico-Facial