2016 Volume 59 Issue 3 Pages 129-134
We report the cases of two patients who underwent endoscopic sinus surgery for sinonasal papilloma of the sphenoid sinus. The histopathological diagnosis was invated papilloma of the sphenoid sinus. Until date, since the surgery, there has been no evidence of recurrence.
Because of the structural complexity of the sphenoid sinus, we needed a 70-degree rigid endoscope for the observation. We used curved forceps, a micro debrider and a diamond bar to resect the sinonasal papilloma from the tumor base. With control of bleeding by electrocautery, we were able to visualize the operative area better. There were some vital organs (internal carotid artery, optic nerve, etc.) around the tumor. Therefore for safe surgery, we needed to fix the dangerous site using a navigation system.
Because of the potential for damage to the internal carotid artery during the surgery, ESS for sinonasal papillomas arising from the sphenoid sinus is preferable to be undertaken in adequately equipped facilities and by skilled surgeons for dealing with any complications.
