The endoscopic approach to sinonasal malignancy

Expanded endoscopic techniques often are used for benign diseases of the sinonasal cavity. Malignancy has traditionally been relegated to open approaches. Recent advances in instrumentation and technique have revolutionized endoscopic surgery. We believe that often endoscopic techniques achieve equivalent, if not improved, tumor resection and will likely prove to be comparable with or superior to open approaches as the use of these approaches continues. The axiom remains that if the approach is limiting the tumor resection, then a conversion to an open procedure is necessary. This article describes our approach to endoscopic resection of sinonasal malignancy.