A Minimally Invasive Endoscopic Transnasal and Transorbital Approach to Sinonasal Tumor Resection

The LaryngoscopeEarly View HOW I DO IT A Minimally Invasive Endoscopic Transnasal and Transorbital Approach to Sinonasal Tumor Resection Kendall Goodyear MD, Kendall Goodyear MD orcid.org/0000-0003-1647-0341 Division of Orbital and Ophthalmic Plastic Surgery, Jules Stein Eye Institute, University of California, Los Angeles, California, U.S.A.Search for more papers by this authorKelsey A. Roelofs MD, Kelsey A. Roelofs MD Division of Orbital and Ophthalmic Plastic Surgery, Jules Stein Eye Institute, University of California, Los Angeles, California, U.S.A.Search for more papers by this authorBrooke M. Su-Velez MD, MPH, Brooke M. Su-Velez MD, MPH Department of Head and Neck Surgery, University of California, Los Angeles, California, U.S.A.Search for more papers by this authorLiza M. Cohen MD, Liza M. Cohen MD Division of Orbital and Ophthalmic Plastic Surgery, Jules Stein Eye Institute, University of California, Los Angeles, California, U.S.A.Search for more papers by this authorKumkum Vadehra MD, Kumkum Vadehra MD Department of Pathology, Harbor-UCLA Medical Center, Torrance, California, U.S.A.Search for more papers by this authorDaniel M. Beswick MD, Daniel M. Beswick MD Department of Head and Neck Surgery, University of California, Los Angeles, California, U.S.A.Search for more papers by this authorDaniel B. Rootman MS, MD, Corresponding Author Daniel B. Rootman MS, MD [email protected] Division of Orbital and Ophthalmic Plastic Surgery, Jules Stein Eye Institute, University of California, Los Angeles, California, U.S.A. Send correspondence to Daniel B. Rootman, Orbital and Ophthalmic Plastic Surgery, UCLA, 300 Stein Plaza, ELW Building, Los Angeles, CA 90095. Email: [email protected]Search for more papers by this author Kendall Goodyear MD, Kendall Goodyear MD orcid.org/0000-0003-1647-0341 Division of Orbital and Ophthalmic Plastic Surgery, Jules Stein Eye Institute, University of California, Los Angeles, California, U.S.A.Search for more papers by this authorKelsey A. Roelofs MD, Kelsey A. Roelofs MD Division of Orbital and Ophthalmic Plastic Surgery, Jules Stein Eye Institute, University of California, Los Angeles, California, U.S.A.Search for more papers by this authorBrooke M. Su-Velez MD, MPH, Brooke M. Su-Velez MD, MPH Department of Head and Neck Surgery, University of California, Los Angeles, California, U.S.A.Search for more papers by this authorLiza M. Cohen MD, Liza M. Cohen MD Division of Orbital and Ophthalmic Plastic Surgery, Jules Stein Eye Institute, University of California, Los Angeles, California, U.S.A.Search for more papers by this authorKumkum Vadehra MD, Kumkum Vadehra MD Department of Pathology, Harbor-UCLA Medical Center, Torrance, California, U.S.A.Search for more papers by this authorDaniel M. Beswick MD, Daniel M. Beswick MD Department of Head and Neck Surgery, University of California, Los Angeles, California, U.S.A.Search for more papers by this authorDaniel B. Rootman MS, MD, Corresponding Author Daniel B. Rootman MS, MD [email protected] Division of Orbital and Ophthalmic Plastic Surgery, Jules Stein Eye Institute, University of California, Los Angeles, California, U.S.A. Send correspondence to Daniel B. Rootman, Orbital and Ophthalmic Plastic Surgery, UCLA, 300 Stein Plaza, ELW Building, Los Angeles, CA 90095. Email: [email protected]Search for more papers by this author First published: 22 August 2023 https://doi.org/10.1002/lary.30960 Editor's Note: This Manuscript was accepted for publication on July 29, 2023. Meeting Presentation: ASOPRS 52nd Annual Fall Scientific Symposium, New Orleans, Louisiana, November 11, 2021. The authors have no funding, or financial relationships to disclose. Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onEmailFacebookTwitterLinkedInRedditWechat Graphical Abstract A 35-year-old female with an extensive biphenotypic sinonasal sarcoma (BSNS) eroding through the left frontal sinus into the orbit required gross total resection of the tumor. We wanted to forgo an open approach and provide a less invasive alternative via combined endonasal and transorbital endoscopic techniques to allow for tumor removal through small, well-disguised incisions. We utilized three portals—nasal, transorbital, and anterior table window—to create interconnected orbit–sinonasal corridors, thus generating alternate pathways for visualization and manipulation of this extensive tumor. Laryngoscope, 2023 CONFLICT OF INTEREST STATEMENT Daniel Rootman, MS, MD, is a consultant for Horizon Pharmaceuticals and a member of the Speakers Bureau. Daniel Beswick, MD, is a consultant for Garner Health. The remaining authors have no conflicts of interest and nothing to disclose. BIBLIOGRAPHY 1Carter CS, East EG, McHugh JB. Biphenotypic sinonasal sarcoma: a review and update. Arch Pathol Lab Med. 2018; 142(10): 1196-1201. 2Hanbazazh M, Jakobiec FA, Curtin HD, Lefebvre DR. Orbital involvement by biphenotypic sinonasal sarcoma with a literature review. Ophthalmic Plast Reconstr Surg. 2021; 37(4): 305-311. 3Chuang J, Barnes C, Wong BJ. Overview of facial plastic surgery and current developments. Surg J. 2016; 2(1): e17-e28. 4Rooper LM, Huang SC, Antonescu CR, Westra WH, Bishop JA. Biphenotypic sinonasal sarcoma: an expanded immunoprofile including consistent nuclear β-catenin positivity and absence of SOX10 expression. Hum Pathol. 2016; 55: 44-50. 5Lewis JT, Oliveira AM, Nascimento AG, et al. Low-grade sinonasal sarcoma with neural and myogenic features: a clinicopathologic analysis of 28 cases. Am J Surg Pathol. 2012; 36(4): 517-525. Early ViewOnline Version of Record before inclusion in an issue ReferencesRelatedInformation