Treatment outcomes in the management of XXXX : an analysis of 160 cases.

@entity1 @entity1179 @entity2094 @entity146
OBJECTIVE: The objective of this study is to compare the surgical options for treatment of @entity1179 to determine the appropriate indications for conservative and aggressive management. STUDY DESIGN AND SETTING: A retrospective review of 160 @entity1 with a diagnosis of @entity1179 treated by the two senior authors (w.l. and h.f.b.) between 1973 and 2001. RESULTS: The study group consisted of 124 male and 36 female @entity1 with an average age of 56 years. The follow-up period ranged from 10 months to 16 years (mean, 5.2 years). Seventy-eight @entity1 (49%) had undergone prior surgery. Lateral rhinotomy was performed in 112 @entity1 (70%), with a recurrence rate of 18%. Conservative removal was performed in 41 @entity1 (26%), including 30 (19%) endoscopic approaches, with a recurrence rate of 12%. The remaining @entity1 underwent @entity2094 , osteoplastic approach, or craniofacial resection. The rate of malignant transformation was 7%. CONCLUSION: We present the largest personal series of cases of @entity1179 to date. Our data suggest that conservative approaches, especially endoscopic removal, can be performed on selected lesions with recurrence rates that are comparable to those of more aggressive techniques. Those @entity1179 that recur after treatment may represent a subset of lesions with an inherent @entity146 , for which optimal treatment has yet to be determined.
