Journal of Clinical Otolaryngology Head and Neck Surgery
The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery
원저

비·부비동 악성종양에서 순수 내시경 절제술과 내시경절제술과외부접근법을 병용한 환자의 치료성적 비교

김용완1, 조규섭2, 김배현2, 고진영2, 노환중2,*
Yong-Wan Kim1, Kyu-Sup Cho2, Bae-Hyun Kim2, Jin-Young Goh2, Hwan-Jung Roh2,*
1인제대학교 의과대학 해운대백병원 이비인후과학교실
2부산대학교 의학전문대학원 이비인후과학교실
1Department of Otorhinolaryngology-Head and Neck Surgery, Haeundae Paik Hospital, InJe University College of Medicine, Busan, Korea
2Department of Otorhinolaryngology-Head and Neck Surgery, Pusan National University School of Medicine, Yangsan, Korea
*교신저자: 노환중, 626-770 경남 양산시 물금읍 범어리 부산대학교 의학전문대학원 이비인후과학교실 전화:(055) 360-2650. 전송: (055) 360-2162·E-mail: rohhj@pusan.ac.kr

© Copyright 2011 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Received: Mar 02, 2011; Revised: Mar 16, 2011; Accepted: Apr 11, 2011

Published Online: May 31, 2020

ABSTRACT

Background and Objective: The aim of this study was to evaluate the treatment outcomes according to the surgical approach, which included the the strictly endoscopic surgery (ESS) and the endoscopic assisted external approach (ESS with EA) of the sinonasal malignancies. Materials and Methods: Retrospective chart analysis was conducted to the patients with malignant sinonasal tumors between January 1995 and June 2008. Demographics, histology, primary sites, tumor stages, surgical management, adjunctive treatment, local recurrences, overall and disease free survivals were analyzed. Results: Forty-one patients were identified (21 men and 20 women). The mean age was 56.8 years, and the mean follow-up was 45.3 months. twenty-five patients were managed with ESS, and 16 patients were treated with ESS with EA. Local recurrence was observed in 4/25 (16%) and 5/16 (31.3%) of the patients in each ESS and ESS with EA group. Overall survival rates in ESS and ESS with EA group were 96% and 87.5%, respectively. Disease free survival rates in ESS and ESS with EA group were 91.7% and 85.7%, respectively. No significant difference was observed between groups on survival rates. Conclusions: Strictly endoscopic surgery or endoscopic assisted external approaches may be alternative options for carefully selected sinonasal malignant tumors according to the tumor origin and extent. (J Clinical Otolaryngol 2011;22:59–64)

Keywords: 내시경; 부비동; 비강; 악성종양
Keywords: Endoscope; Paranasal sinus; Nasal cavity; Neoplasm