xRead - Nasal Obstruction (September 2024) Full Articles

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331

ICAR SINONASAL TUMORS

TABLE XXIX.1 Evidence surrounding risk factors for surgical complications in sinonasal tumors.

Clinical endpoints

Study

Year LOE Study design Study groups

Conclusion

Luet al. 313

1. OR and ER showed comparable complications rate (RR 0.68 p = 0.12) and recurrence (RR = 0.84 p = 0.35) 2. ER was associated with shorter LOS (–2, 9 days, p < 0.01) 1. Growing evidence suggests that endoscopic nasal resection of nasal tumor is safe 2. Endoscopic and endoscopic-assisted resection showed lower rates of complications (6.6% and 25.9%) compared to open approaches (36.4%, p < 0.01) Endoscopic resection was associated with lower intraoperative blood loss and recurrence when compared with open resection 1. A lower complication rate was seen in male patients 2. Surgical approaches had similar complication rates between types 3. Open/CR was associated with increased odds of complication after accounting for RT 1. 30-day mortality rate: 1.6% 2. Overall complication rate of 36.8%, severe complication of 13.6% 3. Advanced T stage was only factor associated with postoperative complications

1. Types of approach 2. Complication rate 3. Recurrence rate 4. Length of stay 1. Types of approach 2. Complication rate

900 patients included from 10 studies 399 (44%) Endoscopic resection 501 (56%) open resection 39 articles including 1732 patients underwent surgery for sinonasal adenocarcinomas 431 endoscopic 31 endoscopic-assisted surgery 1270 open surgery

2019 2

Systematic

reviewand meta analysis

Meccariello et al. 259

2015 2

Systematic

reviewand meta analysis

Boghani et al. 767 2013 2

1. Types of approach 2. Recurrence rate 3.

Systematic review

1047 JNA patients

underwent surgery from 85 studies

Intraoperative blood loss

Beswick et al. 14

2021

3

Prospective cohort

142 patients included 98 endoscopic resection 44 open/combined resection

1. Typeof surgical

approach

2. Gender 3. Adjuvant radiation

Dodhia et al. 2054 2021

1. Mortality rate 2. Complication rate 3. Comorbidities and demographic factors 4. Tstage 1. Age (Elderly) 2. Complication rate 1. Complication rate 2. RT/CRT status Salvage surgery

3

Retrospective cohort

448 patients

underwent surgery for Sinonasal or skull base malignancy

Bashjawish et al. 2061

2019 3

Retrospective cohort

920 patients

Elderly status was not an independent risk factor for surgical complications

underwent surgery for SNM

CRT or particle RT was significantly associated with a high risk of severe complications after salvage surgery

Teshima

2018 3

Retrospective cohort

30 patients underwent salvage surgery for tumors involving the skull base 18 patients received RT or CRT previously

et al. 2063

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