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Endoscopic sinus surgery for sinonasal haemangiopericytomas
Elie Serrano1, A Coste, J Percodani
1Department of Otolaryngology-Head and Neck Surgery, Rangueil Hospital, 31403 Toulouse Cedex 4, France. serrano.e@chu-toulouse.fr
The Journal of Laryngology and Otology
|December 19, 2002
Summary
This study presents five cases of hemangiopericytomas in the nasal cavity treated endoscopically. The endoscopic endonasal approach is effective for removing these rare tumors, with one recurrence noted.
Area of Science:
- Otolaryngology
- Neurosurgery
- Oncology
Background:
- Hemangiopericytomas are rare perivascular tumors with variable malignant potential.
- The nasal cavity and paranasal sinuses are common head and neck sites for these tumors.
- Symptoms often include bleeding and nasal obstruction.
Purpose of the Study:
- To evaluate the efficacy of a strict endonasal endoscopic approach for treating hemangiopericytomas.
- To assess outcomes and recurrence rates of this surgical technique.
Main Methods:
- Five cases of hemangiopericytomas were treated using an endoscopic endonasal approach.
- Pre-operative assessment included CT and MRI scans.
- Angiography with embolization was performed in two cases prior to surgery.
- Complete tumor excision was achieved in all cases.
Main Results:
- All five patients underwent successful tumor removal via the endoscopic endonasal approach.
- None of the patients had malignant histology.
- One recurrence was observed during a mean follow-up of 4.5 years.
Conclusions:
- The endoscopic endonasal approach is a viable and effective treatment for purely intranasal hemangiopericytomas or those confined to the ethmoid or sphenoid sinuses.
- This technique requires experienced surgical hands for optimal outcomes.