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Health care information for sinusitis sufferers |
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Health care information for sinusitis sufferers |
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Treatment OptionsSurgical Treatment OptionsAdenoidectomy | Endoscopic Sinus Surgery | Ethmoidectomy |Extended Endscopic Frontal Sinus Surgery | Frontal Sinusotomy | FESS (Functional Endoscopic Sinus Surgery) | Maxillary Sinusotomy | Open Frontal Sinus Surgery | Polypectomy | Reduction Removal of Inferior Turbinate | Reduction Removal of Middle Turbinate | Septoplasty | Sphenoidotomy | Tumor Removal Tumor Removal Many benign tumors inside the nose and sinuses (fortunately, most common tumors of the nose and sinuses are benign, or non-cancerous) can now be removed endoscopically. They include the inverted papilloma, a tumor arising from the lining (mucosa) of the nose and sinuses, as well as osteomas and fibro-osseous tumors, which arise from the underlying bone. In the case of the most common nasal tumor, an inverted papilloma, the surgeon will use CT scans and magnetic resonance (MR) studies to decide whether endoscopic removal appears to be a good option. Even if it is, he or she may have to convert to an open surgery once the operation begins. This is because tumors have a tendency to recur if the site of attachment is not completely removed. It is not always possible to identify the exact site using preoperative imaging or to remove it with an endoscopic approach. The surgeon may ask permission to perform open surgery if it turns out this is necessary once the tumor is explored during surgery. After surgery, long-term endoscopic follow-up is essential. Inverting papilloma can recur long after removal, and occasionally can become malignant. In many cases, tumors of bony origin (osteomas and fibro-osseous tumors) can be removed endoscopically. The surgeon will choose the best surgical approach based on tumor location and size. Because osteomas and fibro-osseous tumors arise from the underlying bone, surgeons sometimes use a small surgical drill to help remove them. The recent introduction of small curved drills has improved the effectiveness of endoscopic surgery on tumors of bony origin, and increasingly, this is the preferred surgical method. Endoscopic surgical removal is also a good way to remove other, less common, benign tumors, as well as some malignant tumors. For larger or more aggressive tumors, an open surgical operation may still be the best method – or a combination of an open incision and endoscopic techniques. Until additional data and long-term follow-up is available, open surgery remains the best proven approach for the removal of cancerous (malignant) tumors. Email This Article To A Friend Printer Friendly Version Find an ENT Professional Near You
THIS SITE DOES NOT PROVIDE MEDICAL ADVICE. IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY, CALL YOUR DOCTOR OR 911 IMMEDIATELY. All articles and graphics copyright ©2003, 2004, 2005, 2006, 2007 and 2008 Medtronic, Inc. All rights reserved. Version 2.0 This web page was first published on April 30, 2002, and was last updated on June 14, 2006. |
