Modern Surgical Technologies Used in Different Ethmoid Tumors Approaches

The aim of this paper is to underline the importance of modern technologies and experience of surgeon in using them in ethmoid tumors approaches. The method consists of a general and synthesized presentation of modern technologies and identifying patterns of their utilization according to our experience. differentiated utilization of all technologies combined with all types of techniques according to preoperative plan (tumor extension evaluated by imaging, endoscopic aspect, Hystopatological and Immunochemistry exams), knowledge and experience of surgeon. Combined surgical technique is the best choice for the approach of malignant ethmoid tumor and some benign tumor extended to the risk regions (skull base and orbit) with tendency to invasion as inverted papilloma. It is very important for the surgeon to be able to adapt and change his technique at any intraoperative moment and to have skills in using all modern surgical technologies. For all most benignant ethmoid tumors surgeon must apply all knowledge and skills in endoscopic surgery using all modern technologies.