Koch M, Balk M, Schlaffer SM, Allner M, Iro H, Müller SK (2025)
Publication Type: Journal article, Review article
Publication year: 2025
Book Volume: 15
Article Number: 1512771
DOI: 10.3389/fonc.2025.1512771
Objective: Esthesioneuroblastoma (ENB) is treated using several open surgery (OpS) methods, with or without endoscopic assistance (± E-ass) or endoscopic surgery (ES). This systematic review compared the results with various approaches using OpS ± E-ass and ES. Data sources: A systematic PubMed/Medline search was conducted for the period 1990–2023. Review methods: Keywords were “esthesioneuroblastoma” or “olfactory neuroblastoma” and “surgery,” “surgical,” “resection,” “approach,” “open,” and “endoscopic.” Studies/case series and case reports were included. Results with OpS ± E-ass (stratified into various approaches) were compared with ES results. Parameters assessed were follow-up period, frequencies of advanced tumor stages, Hyams grade III–IV tumors, negative margins/gross total resection, postoperative complication rates, preoperative/postoperative radiation therapy/chemotherapy, primary tumor progression, and frequency of/time to first recurrence. Results: A total of 88 studies/case series or single cases/case reports (SC/CR) with results after OpS ± E-ass (850 cases) and 84 with results after ES (584 cases) were included. Compared with OpS ± E-ass, after ES, the average follow-up was significantly shorter (p=0.048) and mean crude disease-free survival (DFS) significantly better (studies/case series, p=0.0001; SC/CR, p=0.001). Compared with OPS ± E-ass, after ES, significantly fewer advanced tumors were treated (studies/case series, p=0.0001; SC/CR, p=0.001); negative margins were significantly less frequent (studies/case series, p=0.009); surgical complications were less frequent (studies/case series, p=0.022); less radiation therapy (studies/case series, p=0.043) and/or chemotherapy (SC/CR, p=0.022) was performed; and recurrences were noted significantly less often (studies/case series, p=0.0001; SC/CR, p=0.034). Among OpS ± E-ass, craniofacial resection ± E-ass showed most significant differences from ES. Conclusions: These data support that ES can be regarded as the surgical method of first choice in less advanced ENB but may also be a good choice in carefully selected advanced ENB.
APA:
Koch, M., Balk, M., Schlaffer, S.-M., Allner, M., Iro, H., & Müller, S.K. (2025). Endoscopic surgery versus various open approaches in esthesioneuroblastoma: a systematic review of the literature. Frontiers in Oncology, 15. https://doi.org/10.3389/fonc.2025.1512771
MLA:
Koch, Michael, et al. "Endoscopic surgery versus various open approaches in esthesioneuroblastoma: a systematic review of the literature." Frontiers in Oncology 15 (2025).
BibTeX: Download