Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2022 Jul 10;83(3):e80-e82.
doi: 10.1055/s-0042-1753519. eCollection 2022 Jul.

Esthesioneuroblastoma (Olfactory Neuroblastoma): Overview and Extent of Surgical Approach and Skull Base Resection

Affiliations

Esthesioneuroblastoma (Olfactory Neuroblastoma): Overview and Extent of Surgical Approach and Skull Base Resection

Emily E Karp et al. J Neurol Surg Rep. .

Abstract

Esthesioneuroblastoma is a rare malignancy originating from the olfactory epithelium. Treatment consists of surgical resection with strong consideration for adjuvant treatment in advanced Kadish stage and high Hyams grade. In the modern era, overall outcomes for esthesioneuroblastoma are favorable compared with many other sinonasal malignancies with 5-year overall survival estimated to be 80%. When selecting the optimal surgical approach, the surgeon must consider the approach that will allow for a negative margin resection and adequate reconstruction. In appropriately selected patients, endoscopic outcomes appear at least equivalent to open approaches and unilateral endoscopic approach may be used in select olfactory preservation cases.

Keywords: craniofacial resection; endoscopic; esthesioneuroblastoma; neuroblastoma; olfactory.

PubMed Disclaimer

Conflict of interest statement

Conflict of Interest None declared.

Figures

Fig. 1
Fig. 1
( A ) Case presentation of coronal magnetic resonance imaging, T1 postgadolinium. ( B ) Arrow indicates contralateral olfactory tract involvement.
Fig. 2
Fig. 2
Endoscopic bilateral craniofacial resection.

References

    1. Wang E W, Zanation A M, Gardner P Aet al.ICAR: endoscopic skull-base surgery Int Forum Allergy Rhinol 20199(S3):S145–S365. - PubMed
    1. Lechner M, Takahashi Y, Turri-Zanoni M et al.Clinical outcomes, Kadish-INSICA staging and therapeutic targeting of somatostatin receptor 2 in olfactory neuroblastoma. Eur J Cancer. 2022;162:221–236. - PMC - PubMed
    1. McMillian R A, Van Gompel J J, Link M Jet al.Long-term oncologic outcomes in esthesioneuroblastoma: an institutional experience of 143 patients Int Forum Allergy RhinolPublished online April 6, 202210.1002/ALR.23007 - DOI - PubMed
    1. Miller K C, Marinelli J P, Janus J R et al.Induction therapy prior to surgical resection for patients presenting with locally advanced esthesioneuroblastoma. J Neurol Surg B Skull Base. 2021;82 03:e131–e137. - PMC - PubMed
    1. Harvey R J, Nalavenkata S, Sacks R et al.Survival outcomes for stage-matched endoscopic and open resection of olfactory neuroblastoma. Head Neck. 2017;39(12):2425–2432. - PubMed