鼻腔鼻窦恶性肿瘤鼻内镜手术的新进展

鼻腔鼻窦恶性肿瘤( SNM)较少见,约占头颈部恶性肿瘤的5％,占全身恶性肿瘤的1％.手术仍是治疗鼻腔鼻窦恶性肿瘤的重要方法.与传统手术方法相比,鼻内镜下鼻腔鼻窦恶性肿瘤手术的主要优点是:无面部切口,住院时间短,出血控制好,肿瘤边界清晰,术后并发症及死亡率低；主要缺点是:肿块难以整块切除,病例随访时间尚短.由于鼻腔鼻窦恶性肿瘤相对少见及伦理问题,前瞻性对照研究很难实施,临床仍需继续积累病例,以便对鼻内镜手术的结果进行分析.

Endoscopic surgery of sinonasal malignancy

Sinonasal malignancies（SNM） are rare to seen in clinic, accounting for only 5% of head-neck and 1% of all body. Surgery is still the mainstay of treatment for SNM. In comparison to traditional external approaches, the major advantages of the endoscopic techniques include the absence of facial incision, decreased hospitalization time, better control of bleeding, improved visualization of tumor margin and reduced mobility and mortality. The major criticisms focus on the failure to remove the tumor on bloc and relative short-time of the follow-up. Due to the rarity of the disease and ethical issues, the prospective studies are difficult to perform, and further investigation comparing the endoscopic and craniofacial results with a large number of cases is needed.