• Luca Volpi, Maurizio Bignami, Davide Lepera, Apostolos Karligkiotis, Andrea Pistochini, Giorgia Ottini, Elena Grigioni, Davide Lombardi, Piero Nicolai, and Paolo Castelnuovo.
• Department of Biotechnology and Life Sciences, Varese, Italy.
• Laryngoscope. 2019 May 1; 129 (5): 1071-1077.

ObjectivesAdenoid cystic carcinoma (ACC) is a locally aggressive salivary gland malignancy prone to perineural invasion and local recurrences. In the literature, few data exist to guide treatment when this tumor involves the paranasal sinuses and skull base. We report our experience in the management of sinonasal adenoid cystic carcinoma through an endoscopic endonasal approach.MethodsRetrospective analysis of patients affected by sinonasal ACC treated through an endoscopic endonasal approach from 1997 to 2015, managed at the Universities of Varese and Brescia, Italy.ResultsThirty-four patients were included in the analysis. The ethmoid sinus (55.9%), nasal septum (17.7%), maxillary sinus (11.7%), and sphenoid sinus (5.9%) were the primary tumor sites encountered. Twenty patients (58.8%) presented with T3 or T4, without any systemic spreading. Twenty-nine patients underwent endoscopic transnasal resection, whereas the involvement of the anterior skull base in five cases required a transnasal endoscopic craniectomy. Overall, 20 of 34 (58.8%) patients received some form of adjuvant radiotherapy. The follow-up ranged from 12 to 202 months (mean of 73.2 months). The 5-year overall, disease-specific, and recurrence-free survival rates were 86.5% ± 7.39%, 86.5% ± 7.39%, and 71.8% ± 8.67%, respectively.ConclusionsThe endoscopic approach is safe and effective for selected sinonasal ACC, reducing the comorbidities of the external approaches while producing similar oncological results. High T-stage, grade III histology, positive surgical margins, and perineural infiltration all have an important negative prognostic value.Level Of Evidence4 Laryngoscope, 129:1071-1077, 2019.© 2018 The American Laryngological, Rhinological and Otological Society, Inc.

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