xRead - Nasal Obstruction (September 2024) Full Articles

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KUANetal.

TABLE XXIX.1 (Continued)

Clinical endpoints

Study

Year LOE Study design Study groups

Conclusion

1. ICA supply in 35.6% of tumors and bilateral supply in 30.8% 2. ICA/bilateral arterial supply was associated with increased operative blood loss 3. Complex vascular contributions to JNA are frequent, underreported, and related with increased blood loss Complications occurred in 28.6% of patients and were associated only with high-risk histologic subtype ( p = 0.04) complications were more frequent with open approaches than pure endoscopic ones 2. Although further studies are required, ER may be used in selected patients with similar oncological results and less morbidity Factors that are predictive of complications included medical comorbidity, prior radiation, and dural and brain invasion 1. Postoperative morbidities in ONB resection were associated with longer operation time, increased LOS, higher ASA, and lower preoperative hematocrit or albumin levels 1. Surgical and medical

1. Complication rate 2. Intraoperative blood loss 3. ICA/bilateral supply 1. Salvage surgery 2. Complication rateand predictors 3. Histologic subtype 1. Types of approach 2. Oncological outcomes 3. Medical complication rate 4. Surgical complication rate 1. Complication rateand predictors 2. Mortality rate 3. Comorbidity 2. ASA score 3. Timeof surgery 4. Length of stay 5. Preoperative hematocrit and albumin levels 1. Primary surgery 2. Salvage surgery 3. OS outcomes 4. Length of stay 1. Short-term adverse event

854 JNA cases

Overdevest et al. 2055

2017 3

Retrospective reviewand Systematic reviewand Meta analysis

underwent surgery after angiographic embolization

Kaplan et al. 417

2015 3

Retrospective cohort

42 patients with local recurrence SNM treated by salvage surgery

Suhet al. 280

2013 3

Retrospective cohort

49 patients underwent surgery for SNM: 36 endoscopic approach and 13 endoscopic-assisted approach

Ganly et al. 2056

2005 3

Retrospective cohort (mul ticenter)

1193 patients

underwent CFR for malignant tumors of the skull base from 17 institutions. 95 patients underwent skull base surgery for ONB resection

Goshtasbi et al. 2062

2020 4

Retrospective Database study (NSQIP)

Lehrich et al. 378

2020 4

Retrospective Database Study (NCDB)

3011 patients included 2804 primary surgery 207 salvage surgery

SS patients had longer LOS and higher 30-day and 90-day mortality when compared to PS

Abbreviations: CFR, craniofacial resection; ICA, internal carotid artery; JNA, nasopharyngeal angiofibroma (formerly juvenile nasopharyngeal angiofibroma); NCDB, National Cancer DataBase; OS, overall survival; RT, radiotherapy; SNM, sinonasal malignancy.