European position paper on endoscopic management of tumours of the nose, paranasal sinuses and skull base.

TLDR

Tumours of the nose, paranasal sinuses and skull base are rare yet challenging due to late presentation and proximity to critical structures, and endoscopic techniques offer comparable resection with lower morbidity while emphasizing multidisciplinary care and long‑term follow‑up. This review aims to update specialists on nasal and skull‑base neoplasia, provide evidence‑based diagnostics and endoscopic treatment guidance, propose management algorithms, and encourage prospective outcome data collection.

Abstract

Tumours affecting the nose, paranasal sinuses and adjacent skull base are fortunately rare. However, they pose significant problems of management due their late presentation and juxtaposition to important anatomical structures such eye and brain. The increasing application of endonasal endoscopic techniques to their excision offers potentially similar scales of resection but with reduced morbidity. The present document is intended to be a state-of-the art review for any specialist with an interest in this area 1. to update their knowledge of neoplasia affecting the nose, paranasal sinuses and adjacent skull base; 2. to provide an evidence-based review of the diagnostic methods; 3. to provide an evidence-based review of endoscopic techniques in the context of other available treatments; 4. to propose algorithms for the management of the disease; 5. to propose guidance for outcome measurements for research and encourage prospective collection of data. The importance of a multidisciplinary approach, adherence to oncologic principles with intent to cure and need for long-term follow-up is emphasised.