OBJECTIVES: Congenital choanal atresia is a complete obliteration of the posterior nasal aperture leading to life-threatening airway emergencies. Several surgical options including sublabial, transpalatal, transseptal or external approaches have been developed for the repair of choanal atresia. So far, no gold standard has been established, but transnasal endoscopic approaches have been favored...

Laryngectomy, open surgery on the neck, is an invasive therapeutic procedure with serious potential of constraints in everyday life, such as the loss of voice. The use of minimal invasive transoral and transnasal approaches for local treatment of laryngeal cancer could ensure better preserving of organs. Direct laryngoscopy, a widely used endoscopic procedure that requires general anesthesia is...

Introduction Carotid artery injury (CAI) is the most feared and potentially catastrophic intraoperative complication an endoscopic skull base surgeon may face. With the advancement of transnasal endoscopic surgery and the willingness to tackle more diverse pathology, evidence-based management of this life-threatening complication is paramount for patient safety and surgeon confidence. Objective...

OBJECTIVE To evaluate the short- and long-term success of the repair of congenital choanal atresia using the transnasal endoscopic approach with and without power instruments. DESIGN AND SETTING Retrospective case series in a tertiary care center. PATIENTS Fifteen patients with either unilateral or bilateral congenital choanal atresia were treated using the transnasal endoscopic approach. P...

The surgical treatment of sinonasal malignancies is in continuous evolution. In selected patients, endoscopic resection has become a sound alternative to traditional external approaches. Further improvements are necessary to enhance the possibilities of endoscopic transnasal resection of sinonasal malignancies. We present a case of intestinal-type adenocarcinoma of the left nasal fossa eroding ...

Objective: Various pathologies can occur at the craniovertebral junction (CVJ). Posterior decompression with occipitocervical fixation improve many of these conditions, but anterior is required in some cases. Anterior a CVJ lesion very difficult to perform. The transoral approach has been considered gold standard, it disadvantage deep and limited operative field, complications are associated th...

Ventral epidural abscess with osteomyelitis at the craniocervical junction is a rare occurrence that typically mandates spinal cord decompression via a transoral approach. However, given the potential for morbidity with transoral surgery, especially in the setting of immunosuppression, together with the advent of extended endonasal techniques, the transnasal approach could be attractive for sel...

Inverted Papilloma is a benign sinonasal tumor which generates considerable interest because they can recur and undergo malignant transformation. We report a case of giant inverted papilloma coming out of nasal cavity through the nasopharynx and hanging in oropharynx which was treated by transnasal endoscopic approach. The patient was asymptomatic 9 months after surgery. Endoscopic approach has...

Inverted papillomas of the nose and paranasal sinuses are uncommon neoplasms, characterized by their tendency to occur and by their association with malignancy. In the past decade there has been a trend toward the use of endoscopic surgical techniques in the management of these tumors. This article presents the results of a prospective study of 24 patients with inverted papilloma resected by th...