Seyed Amin Hosseini Seno

Endoscopic resection of malignant sinonasal tumours with or without chemotherapy and radiotherapy.

OBJECTIVE An increasing number of transnasal endoscopic surgical procedures are being performed, and these procedures are now also utilised in the management of malignant sinonasal tumours. This study aimed to evaluate the outcome of endoscopic resection of sinonasal malignancies, with or without chemotherapy and radiotherapy. METHODS Between 2000 and 2009, six patients with sinonasal malignancies (diagnosed on pre-operative biopsy) underwent endoscopic resection at our hospital. The histopathological diagnoses varied and included squamous cell carcinoma, olfactory neuroblastoma, chordoma, extramedullary plasmacytoma and haemangiopericytoma. RESULTS Surgical resection was combined with chemotherapy and/or radiotherapy in four cases. The mean follow-up period was 43 months. One patient suffered local recurrence of chordoma, 84 months after the first operation, but this was successfully treated with proton beam radiotherapy. CONCLUSION These results suggest that endoscopic resection may be a valid alternative to conventional resection in selected cases of malignant sinonasal tumour.

Endoscopic Surgery for Facial Lipoma Excision

Minimally invasive endoscopic surgery in the neck, first reported by Gagner in 1996, has been adopted by a number of other surgical specialties. We have developed new techniques for performing endoscopic enucleation lipoma. Using our new techniques, various complications, such as injury to nerves and vessels, are prevented. The technique generates cosmetically satisfying results. Expansion of minimally invasive surgery into the facial area will be enhanced by the future development of instruments for this area, and decrease operating time and hospital stay.