Endonasal endoscopic surgical treatment of XXXX --first experiences.

@entity1 @entity5 @entity1179 @entity189 @entity5578
PURPOSE: Surgical excision is generally regarded as the treatment of choice for @entity1179 . However, the approach and extent of surgery has been subject of much debate. The purpose of this study is to evaluate the results of endoscopic sinus surgery in the treatment of @entity5578 . @entity1 AND METHODS: Thirteen cases of inverted @entity5578 were evaluated. The follow-up averaged from 9 months to 48 months with a mean of 27 months. RESULTS: A close follow-up of all @entity1 was maintained. Seventy-seven per cent (10/13) of the @entity1 had no recurrence after the initial endoscopic procedure. Three @entity1 had recurrences of their @entity5 within 11 months after surgery, which means a rate of 23% (3/13). In 2 @entity1 , the recurrences were treated endoscopically. In one @entity1 , recurrence and malignant transformation (squamous cell @entity189 ) developed after 36 months, which means that the associated @entity189 rate was 7% (1/13). This @entity1 underwent radical maxillectomy and postoperative radiotherapy. None of the @entity1 died of @entity1179 . CONCLUSION: Endoscopic sinus surgery is a viable treatment alternative for @entity5578 in selected cases. This approach should be performed by experienced surgeons and a close follow-up is mandatory. When the disease is more extensive, it should be approached by radical surgery, e.g. en-bloc excision by medial maxillectomy via lateral rhinotomy or mid-facial degloving.
