Head & neck · 2014
Transfacial versus endoscopic approach in the treatment of woodworker's nasal adenocarcinomas.
Сравнительное исследованиеСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Grosjean Rémy, Gallet Patrice, Baumann Cédric, Jankowski Roger
Аннотация
BACKGROUND: The purpose of this study was to present a monocentric retrospective study designed to compare oncologic results and morbidity between transfacial surgery and endoscopic endonasal surgery for nasal adenocarcinomas.
METHODS: Between 1998 and 2003, 31 patients were operated on via transfacial surgery, and between 2004 and 2009, 43 patients were operated on via endoscopic endonasal surgery. Overall and specific survival, local control, and morbidity (length of hospitalization, intensive care unit [ICU] monitoring, need for nasal packing, and complications) were compared.
RESULTS: There was no difference in prognostic factors between groups, but the median age was significantly higher for endoscopic endonasal surgery. Three-year overall survival, specific survival, and local control were not different between groups (respectively, 76.7%, 86%, and 81.4% for endoscopic endonasal surgery vs 61.3%, 67.7%, and 71% for transfacial surgery). Morbidity was significantly lower with endoscopic endonasal surgery for all criteria.
CONCLUSION: Endoscopic surgery may replace transfacial surgery in the treatment of woodworker's adenocarcinomas. Older patients can be operated on by decreasing morbidity and mortality with at least similar oncologic results.
METHODS: Between 1998 and 2003, 31 patients were operated on via transfacial surgery, and between 2004 and 2009, 43 patients were operated on via endoscopic endonasal surgery. Overall and specific survival, local control, and morbidity (length of hospitalization, intensive care unit [ICU] monitoring, need for nasal packing, and complications) were compared.
RESULTS: There was no difference in prognostic factors between groups, but the median age was significantly higher for endoscopic endonasal surgery. Three-year overall survival, specific survival, and local control were not different between groups (respectively, 76.7%, 86%, and 81.4% for endoscopic endonasal surgery vs 61.3%, 67.7%, and 71% for transfacial surgery). Morbidity was significantly lower with endoscopic endonasal surgery for all criteria.
CONCLUSION: Endoscopic surgery may replace transfacial surgery in the treatment of woodworker's adenocarcinomas. Older patients can be operated on by decreasing morbidity and mortality with at least similar oncologic results.
Предметные рубрики MeSH
AdenocarcinomaAgedAnalysis of VarianceCause of DeathCohort StudiesConfidence IntervalsDisease-Free SurvivalDustEndoscopyFaceFemaleFollow-Up StudiesHumansMaleMiddle AgedNasal Surgical ProceduresNeoplasm InvasivenessNeoplasm Recurrence, LocalNeoplasm StagingNose NeoplasmsOccupational DiseasesRetrospective StudiesRisk AssessmentSurvival AnalysisTreatment OutcomeWood