Journal of Rhinology 2009;16(1):39-43.
Published online May 31, 2009.
The Usefulness of Endoscopic Management in Benign Sinonasal Tumors
Ji Hyeon Shin, Soo Whan Kim, Sung Won Kim, Chan Soon Park, Jin Hee Cho, Myung Jae Yang, Jun Myung Kang
Department of Otolaryngology-HNS, College of Medicine, The Catholic University of Korea, Seoul, Korea. entkjm@catholic.ac.kr
양성 비부비동 종양에 대한 비내시경 치료의 유용성
신지현, 김수환, 김성원, 박찬순, 조진희, 양명재, 강준명
가톨릭대학교 의과대학 이비인후과학교실
Abstract
Background and Objectives
There are increasing evidence suggesting that the endoscopic approach can be used successfully for the treatment of benign sinonasal tumors. In the present study, we reviewed a 12-year experience of our institution for endoscopic management of benign sinonasal tumors.
MATERIALS AND METHODS
We retrospectively reviewed the medical records and radiologic findings of 185 patients who underwent endonasal endoscopic resection of benign sinonasal tumors at the Catholic Medical Center between 1996 and 2007. RESULT: Inverted papilloma (119 cases, 64.3%) was most common, followed by hemangioma (14 cases), pyogenic granuloma (11 cases), angiofibroma (9 cases), and osteoma (7 cases). The most common symptom was nasal obstruction (70.8%). Sixteen cases (8.6%) recurred after endoscopic resection (12 cases of inverted papilloma, 2 cases of ossifying fibroma, and 2 cases of fibrous dysplasia). No major complications were reported.
Conclusion
Endoscopic approach allows for successful surgical outcomes and good cosmetic effects among patients with benign sinonasal tumors. We suggest that, in selected cases, benign tumors involving the sinonasal tract can be safely and radically removed using the endoscopic technique.
Key Words: Benign neoplasms;Nose;Paranasal sinuses;Endoscopic surgical procedures




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