Endoscopic transnasal surgery for malignant sinus tumors involving orbit:clinical analyses of 34 cases
10.3760/cma.j.issn.1673-0860.2016.06.005
- VernacularTitle:内镜经鼻手术治疗侵及眼眶的鼻窦恶性肿瘤34例临床分析
- Author:
Xuejing HAO
1
;
Liang LI
;
Lei CHEN
Author Information
1. 解放军总医院耳鼻咽喉头颈外科
- Keywords:
Paranasal sinus neoplasms;
Endoscopy;
Otorhinolaryngologic surgical procedures;
Treatment outcome;
Orbit
- From:
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
2016;51(6):423-427
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effect of endoscopic transnasal surgery for malignant sinus tumors involving the orbit,and to analyse the factors affecting the prognosis.Methods Thirty-four cases of malignant sinus tumors involving the orbit,who underwent surgical treatment in Chinese people's liberation army general hospital between January 2009 and April 2015,were reviewed retrospectively.The 5-year survival rate,the recurrence rate and the complications was analysed,the factors affecting prognosis were discussed.Results Among 34 patients,2 patients were lost to follow-up.Follow-up time of 32 patients ranged 7 to 75 months.The 5-year overall survival(OS) in this group was 53％.Twelve cases recurred,the recurrence rate was 35％.Eye function improved in 26 cases,the improvement rate was 76.5％.Four cases developed diplopia and peri-orbital swelling after surgery,and simple peri-orbit swelling in 25 cases.The 5-year survive rate of stage 1,stage 2 and stage 3 were 80％,36％ and 25％,respectively,with significant difference(x2 =6.643,P =0.036).Conclusions Endoscopic transnasal surgery for malignant sinus tumors is effective,minimally invasive and accurate.The prognosis is closely related to the clinical stages and the pathological type.
