A Case of Orbital Hemangioma Resected by the Transnasal Endoscopic Approach

A 53 year-old woman presented a recurrent bifrontal headache of 2 years duration and bilateral progressive visual disturbance. The clinical and neurological examination showed a bilateral feet adactyly and bitemporal hemianopsia. The brain MRI demonstrated a Rathke's cleft cyst. The patient was operated by a transnasal endoscopic approach. It seems that this unusual association has never been described before.

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Transnasal endoscopic approach in congenital choanal atresia

The Laryngoscope ◽

10.1002/lary.5541040521 ◽

1994 ◽

Vol 104 (5) ◽

pp. 642-646 ◽

Cited By ~ 32

Author(s):

Reda Kamel

Keyword(s):

Choanal Atresia ◽

Endoscopic Approach ◽

Transnasal Endoscopic Approach

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Transnasal Endoscopic Approach to the Sella Turcica

American Journal of Rhinology ◽

10.2500/105065898781390028 ◽

1998 ◽

Vol 12 (4) ◽

pp. 283-288 ◽

Cited By ~ 36

Author(s):

Michelle R. Aust ◽

Thomas V. McCaffrey ◽

John Atkinson

Keyword(s):

Pituitary Gland ◽

Pituitary Adenomas ◽

Sphenoid Sinus ◽

Sella Turcica ◽

Cerebrospinal Fluid Leak ◽

Pituitary Surgery ◽

Endoscopic Approach ◽

Transseptal Approach ◽

Transnasal Endoscopic Approach ◽

Posterior Septum

The transseptal/transsphenoidal approach to the pituitary gland has been the most commonly used approach for resection of pituitary adenomas for the last 50 years. This procedure has a low morbidity and provides direct midline access to the sella and pituitary gland. Recent advancements in endoscopic surgery, however, suggest that a lower morbidity approach to the sella would be possible via transnasal endoscopic route. Prior reports have confirmed effectiveness of this approach to the pituitary gland and we report here an early series of endoscopic transnasal pituitary surgery from our institution. We report seven cases of transnasal endoscopic pituitary surgery. Our technique consists of endoscopic exposure of the sphenoid ostium unilaterally, excision of the posterior septum anterior to the rostrum of the sphenoid sinus with resection of the sphenoid rostrum for bilateral exposure of the sphenoid sinus. A specially designed nasal speculum is positioned to displace the posterior septum and lateralize the middle turbinates, permitting direct midline exposure of the sphenoid sinus and sella. We have progressively modified the technique over the seven cases that we present and will discuss our specific instrumentation, indications, and technique for this procedure. We have encountered one cerebrospinal fluid leak in this series. Patient satisfaction has been high and hospitalization is less than with the conventional transseptal approach, averaging 1 day. Our impression is that the transnasal endoscopic approach to pituitary adenomas is a safe technique with reduced morbidity permitting shortened hospital stay.

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Transnasal endoscopic approach with powered instrumentation for treating squamous papilloma in the nasopharyngeal surface of the soft palate

The Journal of Laryngology & Otology ◽

10.1017/s0022215112003167 ◽

2013 ◽

Vol 127 (5) ◽

pp. 516-518 ◽

Cited By ~ 2

Author(s):

J-H Lee ◽

Y-O Lee ◽

C-H Lee ◽

K-S Cho

Keyword(s):

Case Report ◽

Soft Palate ◽

Relevant Literature ◽

Complete Removal ◽

Transoral Approach ◽

Endoscopic Approach ◽

Squamous Papilloma ◽

Novel Approach ◽

Patient Reported ◽

Transnasal Endoscopic Approach

AbstractObjective:To demonstrate a safe and effective method for complete resection of squamous papilloma in the nasopharyngeal surface of the soft palate. This technique was used on a patient in whom the papilloma had twice recurred following uvulopalatopharyngoplasty.Methods:Case report and review of the relevant literature.Results:The patient reported in this paper had recurrent squamous papilloma in the nasopharyngeal surface of the soft palate following uvulopalatopharyngoplasty. He also suffered from nasal regurgitation when drinking water. This lesion, which was difficult to access, was successfully treated via a transnasal endoscopic approach using powered instrumentation.Conclusion:This case report highlights a novel approach for the complete removal of a recurrent papilloma in a relatively inaccessible location. Compared with a transoral approach such as uvulopalatopharyngoplasty, the transnasal endoscopic approach using powered instrumentation could provide a safer, faster, easier and less invasive means of treating squamous papilloma in the nasopharyngeal surface of the soft palate, especially for a lesion that recurs following a transoral approach.

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Transnasal endoscopic resection of nasal chondromesenchymal hamartoma in infancy: an analysis of 5 cases

BMC Pediatrics ◽

10.1186/s12887-021-03082-4 ◽

2022 ◽

Vol 22 (1) ◽

Author(s):

Zheng Jie Zhu ◽

Qi Huang ◽

Lan Cheng ◽

Jun Yang

Keyword(s):

Endoscopic Resection ◽

Tumor Resection ◽

Diagnostic Techniques ◽

Endoscopic Approach ◽

Benign Tumors ◽

Radiographic Findings ◽

Transnasal Endoscopic Approach ◽

Magnetic Resonance Imaging Mri ◽

Midfacial Degloving

Abstract Background Nasal chondromesenchymal hamartomas (NCMHs) are extremely rare benign tumors that most commonly affect children in the first year of life. The purpose of this study was to investigate and summarize the characteristics of NCMH cases and the efficacy of transnasal endoscopic resection of NCMHs. Methods This is a retrospective study including 5 cases of infant diagnosed as NCMH between April 2016 and April 2020. Diagnostic techniques include nasoendoscopy, computerized tomography (CT) scan, magnetic resonance imaging (MRI) with contrast and microscopic and immunohistologic studies. Data collected included patient demographics, patient symptoms, radiographic findings, characteristics of tumor growth, follow-up time, recurrence, and postoperative complications. Results In 5 cases, 3 were males and 2 were females who aged 1, 2, 3, 6 months and 1 year, respectively. The size of the mass measured 1.6 cm*1.9 cm*1.8 cm at its smallest and largest was 4.0 cm*3.5 cm*3.0 cm. All five patients underwent tumor resection via transnasal endoscopic approach. Four tumors were completely removed, and one underwent partial resection, which was completely resected by midfacial degloving operation 13 months after the first surgery. There was no postoperative complication. The current postoperative follow-up period was 1 to 4 years, and no recurrence has been observed. Conclusions Complete surgical resection of NCHM is necessary to resolve the symptoms and prevent recurrence. Transnasal endoscopic approach is a safe and effective choice for pediatric NCMH patients.

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