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Rhinosinusitis, in its various forms of clinical manifestation, is one of the most common and important diseases of recent decades, with serious implications, affecting the quality of life of patients and with socioeconomic costs involved. If in the past, only the external approach was used to address rhinosinusal disorders, now, with the development and improvement of endoscopic surgical techniques, the endonasal endoscopic approach is increasingly used. Rhinosinusal infectious-inflammatory pathology currently represents an indication of choice for endoscopic surgery. The classic external approach retains its usefulness in certain specific situations, especially related to complicated sinusitis, mainly frontal, endoscopy failure or complications of endoscopic surgery. The authors aim to discuss the main clinical situations we may encounter, to debate and summarize the surgical indications and approaches depending on the particularities of cases, as well as the advantages or disadvantages of the two types of surgery. [ABSTRACT FROM AUTHOR]

Vascular tumors of the head and neck are a heterogenous group of conditions that raise numerous problems re garding diagnosis and optimal therapeutic strategy. Heman gio mas are benign vascular tumors which are only exceptionally found in the nasal cavity and paranasal si nuses. His tologically, the mixed type is extremely rarely found in the lite rature. The authors present a series of particular aspects regarding the approach of such tumors, exem pli fying with a case of sinonasal giant hemangioma from the author’s own casuistry. Problems found in the diag nostic process, difficulties encountered during the treat ment of large vascular sinonasal tumors, as well as particular elements regarding the succesfull total intravenous anesthesia are presented. Total intravenous anes thesia (TIVA) allowed the adequate hemodynamic stability, facilitating a superior intraoperative hemostasis, there fore leading to the complete endoscopic ablation of the sinonasal hemagioma. [ABSTRACT FROM AUTHOR]