ENDOSCOPE-ASSISTED ENDONASAL APPROACH IN THE SURGICAL TREATMENT OF ESTHESIONEUROBLASTOMA IN CHILDREN
https://doi.org/10.17650/2222-1468-2012-0-1-37-41
Abstract
This trial was undertaken to examine 3 patients aged 7 months to 13 years with esthesioneuroblastoma were examined to evaluate the possibilities and efficiency of an endoscopic endonasal approach in its surgical treatment in pediatric practice. Additional orientation was provided by a Vector Vision Compact system (Brain Lab, USA). The trial has established that the endoscopic endonasal approach to creating an isolated transnasal and combined transnasal/transethmoidal corridor and a transcribriform approach is highly effective and reasonably safe for the treatment of children with esthesioneuroblastoma: no intra- and postoperative complications were recorded in the trial; analysis of the immediate results of surgical interventions has shown a clinical regression in all the patients. Fatal outcomes and recurrent tumor were absent in the late (1–5-year) period. The additional employment of the navigation equipment allowed one to more accurately use surgical tools in the narrow anatomic spaces and to more thoroughly affect an abnormality, which was eventually shown in more conservative surgery.
About the Author
O. A. Merkulov
Department of Neurosurgery, Morozov Children’s City Clinical Hospital, Moscow
Russian Federation
Russian Federation
References
1. Schramm V.L., Jr. Inflammatory and neoplastic masses of the nose and paranasal sinus in children. Laryngoscope 1979;89(12):1887–97.
2. Broich G., Pagliari A., Ottaviani F. Esthesioneuroblastoma: a general review of the cases published since the discovery of the tumour in 1924. Anticancer Res 1997;17(4A):2683–706.
3. Rinaldo A., Ferlito A., Shaha A.R. et al. Esthesioneuroblastoma and cervical lymph node metastases: clinical and therapeutic implications. Acta Otolaryngol 2002;122(2):215–21.
4. Morita A., Ebersold M.J., Olsen K.D. et al. Esthesioneuroblastoma: prognosis and management. Neurosurgery 1993;32(5):706–15.
5. Dulguerov P., Allal A.S., Calcaterra T.C. Esthesioneuroblastoma: a meta-analysis and review. Lancet Oncol 2001; 2(11):683–90.
6. Dulguerov P., Calcaterra T. Esthesioneuroblastoma: the UCLA experience 1970–1990. Laryngoscope 1992;102(8):843–9.
7. Rastogi M., Bhatt M., Chufal K. et al. Esthesioneuroblastoma treated with noncraniofacial resection surgery followed by combined chemotherapy and radiotherapy: аn alternative approach in limited resources. Jpn J Clin Oncol 2006;36(10):613–9.
8. Chao K.S., Kaplan C., Simpson J.R. et al. Esthesioneuroblastoma: the impact of treatment modality. Head Neck 2001 Sep; (9):749–57.
9. Girod D., Hanna E., Marentette L. Esthesioneuroblastoma. Head Neck 2001;23(6):500–5.
10. Zafereo M.E., Fakhri S., Prayson R. et al. Esthesioneuroblastoma: 25-year experience at a single institution. Otolaryngol Head Neck Surg 2008; 138(4):452–8.
11. Simon J.H., Zhen W., McCulloch T.M. et al. Esthesioneuroblastoma: the University of Iowa experience 1978–1998. Laryngoscope 2001;111(3):488–93.
12. Eriksen J.G., Bastholt L., Krogdahl A.S. et al. Esthesioneuroblastoma — what is the optimal treatment? Acta Oncol 2000; 39(2):231–5.
13. Lund V.J., Stammberger H., Nicolai P. et al. European position paper on endoscopic management of tumours of the nose, paranasal sinuses and skull base. Rhinol Suppl 2010;(22):1–143.
Review
For citations:
Merkulov O.A. ENDOSCOPE-ASSISTED ENDONASAL APPROACH IN THE SURGICAL TREATMENT OF ESTHESIONEUROBLASTOMA IN CHILDREN. Head and Neck Tumors (HNT). 2012;(1):37-41. (In Russ.) https://doi.org/10.17650/2222-1468-2012-0-1-37-41
Views:
560
Email this article 