ABSTRACT
Objective: To evaluate the outcome of the endoscopic approach for sinonasal neoplasms
Study design: Prospective study
Patients and Methods: Fifty one patients with SINONASAL tumors were treated by the author in the period from 1997 to 2004. Tumors were either resected exclusively via an endoscopic approach [35 cases] or in association with other approaches [16 cases]. This study included patients with inverted papilloma [23], angiofibroma [13], vascular lesions [7], fibroosseous lesion [2], osteoma [2], hemangiopericytoma [2]. odontogenic nasal tumor [1], and salivary gland tumor [1]
Results: The mean follow up period Was 32 months. Tumor recurrence Occurred in 3 cases [2 inverted papillomas and 1 angiofibroma]. No major complications were encountered
Conclusion: Endoscopic and endoscopic assisted resection of sinonasal tumors is effective. The endoscopic approach can be employed together with non-endoscopic approach whenever there is no possibility of complete visualization and consequent successful resection of the tumor
ABSTRACT
Nasal polyposis is the most common mass lesions in the nose. It has been shown that it reduces quality of life. It has characteristically frequent recurrences. The objective of this study is to evaluate the outcome of nasal polyposis with medium term follow up [mean of 42 months]. This s M y included 216 adult patients with nasal polyps treated with endoscopic sinus surgery in the period from June 1997 to June 2003. All operations were done at Otori7inoiaryngoiogy Department, Mansoura University Hospital. Patients were grouped into polyposis, polyposis with asthmas, and polyposis with aspirin intolerance. Outcome measures include symptomatic improvement, residual and recurrent diseases, CT score, endoscopic score and complications. Patients symptom score and CT scores improved significantly after surgery. Recurrence rate was 19.9% [16%, 34%, and 38%] for the three groups, respectively]. Better control of asthma with less dependency on medication was not achieved in patients with asthma as well as patients with aspirin intolerance In conclusion; endoscopic sinus surgery is effective in treating patients with nasal polyposis. Patients with asthma and aspirin intolerance have worse outcome than patients with polyps with no asthma
ABSTRACT
Transnasal endoscopic management of posterior choanal atresia represents a significant advancement in choanal surgery. It provides an extremely sharp image with a magnified overview. It enables the surgeon to see the tips of his instruments, so that the bone is removed safely under direct endoscopic vision. A second look procedure on removal of the stent is essencial to assess the neochoana as regard to its wideness, any granulation tissues or polyps. This study included 26 patients divided into 2 groups. Group I included 11 neonates with bilateral choanal atresia. Group II included 15 patients aged 3-32 years. Endoscopic repair of choanal atresia was performed in all cases followed by a second look procedure after 6 weeks. This study was done in ORL surgery department, Mansoura University Hospital at the period between 2000 and 2003. W concluded that endoscope is essential for management of congenital choanal atresia also the second look procedure is mandatory