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. 2018 Jan 18;79(1):21–30. doi: 10.1055/s-0037-1615810

Table 1. Staging systems most commonly adopted in the literature.

Andrews et al 7
I Limited to the nasopharynx and nasal cavity. Bone destruction negligible or limited to the sphenopalatine foramen
II Invading the pterygopalatine fossa or the maxillary, ethmoid, or sphenoid sinus with bone destruction
III  • Invading the infratemporal fossa or orbital region without intracranial involvement
 • Invading the infratemporal fossa or orbit with intracranial extradural (parasellar) involvement
IV  • Intracranial intradural without infiltration of the cavernous sinus, pituitary fossa, or optic chiasm
 • Intracranial intradural with infiltration of the cavernous sinus, pituitary fossa, or optic chiasm
Radkowski et al 8
I  • Limited to posterior nares and/or nasopharyngeal vault
 • Involving the posterior nares and/or nasopharyngeal vault with involvement of at least one paranasal sinus
II  • Minimal lateral extension into the pterygopalatine fossa
 • Full occupation of pterygopalatine fossa with or without superior erosion orbital bones
 • Extension into the infratemporal fossa or extension posterior to the pterygoid plates
III  • Erosion of skull base (middle cranial fossa/base of pterygoids)—minimal intracranial extension
 • Extensive intracranial extension with or without extension into the cavernous sinus
Onerci et al 9
I Nose, nasopharyngeal vault, ethmoidal-sphenoidal sinuses, or minimal extension to pterygopalatine fossa
II Maxillary sinus, full occupation of pterygopalatine fossa, extension to the anterior cranial fossa, and limited extension to the infratemporal fossa
III Deep extension into the cancellous bone at the base of the pterygoid or the body and the greater wing of sphenoid, significant lateral extension to the infratemporal fossa, or to the pterygoid plates posteriorly or orbital region, cavernous sinus obliteration
IV Intracranial extension between the pituitary gland and internal carotid artery, tumor localization lateral to internal carotid artery, middle fossa extension, and extensive intracranial extension
Snyderman et al 10
I No significant extension beyond the site of origin and remaining medial to the midpoint of the pterygopalatine fossa
II Extension to the paranasal sinuses and lateral to the midpoint of the pterygopalatine fossa
III Locally advanced with skull base erosion or extension to additional extracranial spaces, including orbit and infratemporal fossa, no residual vascularity following embolization
IV Skull base erosion, orbit, infratemporal fossa
Residual vascularity
V Intracranial extension, residual vascularity
M: Medial extension
L: Lateral extension