Endoscopic Endonasal Resection of Pediatric Sinonasal Malignancy, Is It Feasible?

Background: The aim of this study is to present our experience in treating pediatric sinonasal malignancies with exclusively endonasal endoscopic approach and measure its feasibility. Methods: Retrospective review of seven patients under the age of 19 years who have sinonasal malignancy and treated with endoscopic endonasal approach. We analyzed the surgical resection, complications, survival rate, recurrence, and gross facial growth. Results: All patients had total tumor resection with negative margins, no major complications were observed. A mean follow-up of 65 months was done with no evidence of recurrences. Facial growth assessment showed no gross changes. Conclusion: To our knowledge, this is the only series about exclusive endoscopic endonasal resection of pediatric malignancy. Although, our series has few cases but it showed a feasibility of this surgical approach. A further collaborative study with larger number is needed to have more valid conclusion.