Oncologic Safety of Endoscopic Removal of Infiltrated Tumor Onto the Periorbita Using Bipolar Cauterization Technique in Sinonasal Malignancy

문수진; 정재훈; 김성동; 조규섭; 노환중

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자료유형: 학술저널

저자정보: 문수진 (양산부산대학교병원) 정재훈 (부산대학교 의학전문대학원 이비인후과학교실) 김성동 (부산대학교병원) 조규섭 (부산대학교) 노환중 (부산대학교)

저널정보: 대한이비인후과학회 부산,울산,경남 지부회 임상이비인후과 임상이비인후과 제28권 제1호

발행연도: 2017.6

수록면: 67 - 75 (9page)

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The periorbita has been regarded as the crucial structure in decision of orbital exenteration in the patients with sinonasal malignancies. The purpose of this study is to evaluate the oncological safety of endoscopic removal using bipolar cauterization in tumor encroaching on the periorbita without orbital sacrifice through analysis of long-term follow-up results of 5 cases. Methods：Retrospective review including demographic data, followup results, and local recurrence were performed on the 5 patients of advanced sinonasal cancer who showed bony orbital wall destruction and infiltration onto the periorbita but not transgressing into the orbital fat. Partial or total maxillectomy with orbital preservation was conducted in each patient. The tumor was dissected along the periorbita using bipolar nasal coagulation forceps by one senior surgeon under the endoscope. Preoperative CT and MRI scan were performed in all cases and retrospectively compared with intraoperative and permanent pathologic reports. Results：The mean age of tumor onset was 51.8 (39-74) years. Histopathology included four squamous cell carcinomas and one adenoid cystic carcinoma. Follow-up period ranged from 31 to 219 months (mean 112.6months). All cases showed no local recurrence in the orbit but one patient had local recurrence in the pterygopalatine fossa and the other had local recurrence in the neck. Conclusions：Endoscopic removal of infiltrated tumor onto the periorbita using bipolar cauterization technique might be oncologically safe technique in advanced maxillary cancer infiltrated onto the periorbita which is not invading the orbital fat.

#EndoscopeㆍOrbitㆍPeriorbitaㆍNasal cavityㆍParanasal sinusㆍNeoplasms.

참고문헌 (19)

참고문헌 신청

Ketcham AS / 1973 / The ethmoid sinuses: a re-evaluation of surgical resection / Am J Surg 126(4):469~476

Harrison DF / 1976 / Problems in surgical management of neoplasms arising in the paranasal sinuses / J Laryngol Otol 90(1):69~74

Sisson GA / 1989 / Paranasal sinus malignancy:a comprehensive update / Laryngoscope 99(2):143~150

Stern SJ / 1993 / Orbital preservation in maxillectomy / Otolaryngol Head Neck Surg 109(1):111~115

McCary WS / 1996 / Preservation of the eye in the treatment of sinonasal malignant neoplasms with orbital involvement. a confirmation of the original treatise / Arch Otolaryngol Head Neck Surg 122(6):657~659

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