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Updated: Jun 14, 2026

Endoscopic Endonasal Trans-sphenoidal Approach: Minimally Invasive Surgery for Pituitary Adenomas
Published on: January 17, 2018
[Orbital tumors arising from paranasal sinuses]
T Civit1, C Pinelli, S Freppel
1Département de neurochirurgie, hôpital Central, CHU de Nancy, 29, avenue de Lattre-de-Tassigny, 54000 Nancy, France. t.civit@chu-nancy.fr
Orbital tumors from paranasal sinuses, including mucoceles and ethmoidal tumors, are diagnosed preoperatively. Benign tumors are curable with surgery, while malignant tumors require chemotherapy and radiotherapy.
Area of Science:
- Ophthalmology and Otolaryngology
Background:
- Orbital tumors originating in the paranasal sinuses present a diagnostic and therapeutic challenge.
- These tumors include benign mucoceles and malignant ethmoidal tumors, requiring distinct management strategies.
Purpose of the Study:
- To outline the diagnostic and treatment approaches for orbital tumors originating from the paranasal sinuses.
Main Methods:
- Preoperative diagnosis relies on patient history, clinical examination, radiological imaging, and endoscopic biopsy by an ENT surgeon.
Main Results:
- Benign tumors, such as mucoceles, are curable with surgical intervention.
- Malignant ethmoidal tumors necessitate a multimodal treatment approach involving surgery, chemotherapy, and radiotherapy.
Conclusions:
- Accurate preoperative diagnosis is crucial for effective management of orbital tumors from paranasal sinuses.
- Treatment strategies are tailored based on the tumor's histology, with surgery for benign conditions and combined therapies for malignant ones.
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