Endoscopic minimal access surgery in nasal and sinus tumours: lessons from initial experience

? The role of endoscopic techniques in the treatment of Nose and Para‐Nasal Sinus tumours is the subject of wide debate. ? Technical advances in skills, imaging and instrumentation have resulted in Endoscopic Minimal Access Surgery gaining wide acceptance in the treatment of benign tumours. The place of endoscopes in malignant disease is more controversial. ? Defining the aims of endoscopic surgery is key to achieving a successful outcome. ? Experience with these new technologies and strategies should be gathered in a Clinical Network and Multi‐Disciplinary Team setting, with planned long‐term follow up. ? We report our initial experience of 33 patients managed with EMAS (27 curative, six debulking/palliative cases). ? Initial experience of the transition from the benign to malignant arenas supports a continued, cautious, structured evaluation of the endoscopic approach.