The primary surgeons evaluated their preoperative patients and made decisions with each patient regarding treatment adjustment. If a variation occurred relative to the original plan or to our standard practice, it generally was one of the following:Delay of surgery for 2 to 3 months.
Transfer to a nonsurgical treatment, only if that approach met normal standards of care.
Change in surgical approach (ie, reduction of powered instrumentation during endoscopic transnasal resection of neoplasms).