[Endoscopic surgery for benign rhino-sinusal tumors].
OBJECTIVE
Evaluation of the efficiency for endoscopical transnasal surgical techniques of rhino-sinusal benign tumors.


METHODS
Retrospective study underwent between January 2005 - January 2006 in ENT&HNS Department "Sf. Maria" Bucharest, including 31 consecutive patients diagnosed with rhino-sinusal benign tumors. The patients underwent endoscopical surgical resections, with a follow-up period ranging between 14-26 months (average of 17,2 months).


RESULTS
We present the results achieved during the study over a group of patients with benign tumors from which 14 cases were inverted papillomas (45,16%), 7 cases of haemangiomas (22,58%), 3 cases of neurofibromas, and 3 cases of juvenile angiofibromas (each representing 9,67%), 2 cases of ossifying fibromas, and 2 cases of ameloblastomas (each representing 6,45%). The surgical procedures were performed under general anesthesia by the same surgeon. In the follow-up period, the patients were evaluated endoscopically and radiologicaly. The recurrence rate was 12,90% (4 cases) that required combined endoscopic and open approach: 2 cases of inverted papillomas and 2 cases of ossifying fibromas.


CONCLUSIONS
Endoscopic transnasal approach of benign rhino-sinusal tumors is a successful surgical method, with the advantage of no esthetics impairments, reduced hospitalization, and preservation of the patient's quality of life, with medium and long term results comparable with open surgery.
Sarafoleanu
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Clinica O.R.L., Spitalul Clinic "Sfânta Maria", Bucureşti. csarafoleanu@gmail.com
Manea
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Enache
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D000293:Adolescent; D000328:Adult; D000368:Aged; D000564:Ameloblastoma / Q000601:surgery; D018322:Angiofibroma / Q000601:surgery; D002648:Child; D004724:Endoscopy / Q000379:methods*; D005260:Female; D018214:Fibroma, Ossifying / Q000601:surgery; D005500:Follow-Up Studies; D006391:Hemangioma / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D009455:Neurofibroma / Q000601:surgery; D009669:Nose Neoplasms / Q000601:surgery*; D013517:Otorhinolaryngologic Surgical Procedures / Q000379:methods*; D010212:Papilloma / Q000601:surgery; D010255:Paranasal Sinus Neoplasms / Q000601:surgery*; D012189:Retrospective Studies; D016896:Treatment Outcome