The Use of the Facial Translocation Technique in the Management of Tumors of the Paranasal Sinuses and Skull Base

Abstract

OBJECTIVE: We sought to assess the efficacy of facial translocation in the management of tumors of the skull base and paranasal sinuses.

STUDY DESIGN AND SETTING: From July 1993 to December 1999, 75 patients, aged 3 to 102 years old, underwent facial translocation. Thirty-three (44%) patients also underwent a combined neurosurgical procedure. Nineteen (25%) had previous surgery. These patients were followed up to 6 years.

RESULTS: There were 21 benign and 54 malignant tumors. There were no perioperative deaths. The morbidity rate was 31%. Of the 54 patients with malignant tumors, the actuarial 3-year survival rate was 59%, whereas the local control rate was 54%.

CONCLUSION: The facial translocation technique offers favorable exposure of the critical zones of the anterior and middle cranial base, thus facilitating extensive resection and reconstruction.

SIGNIFICANCE: This study demonstrates that facial translocation is one of the best surgical approaches to the skull base.

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References

Nuss

Janecka

Sekhar

Craniofacial disassembly in the management of skull base tumors. Otolaryngol Clin North Am 1991;24:1465–97.

Janecka

Sen

Sekhar

Facial translocation: a new approach to the cranial base. Otolaryngol Head Neck Surg 1990;103:413–9.

Sekhar

Schramm

Jones

Subtemporal preauricular infratemporal fossa approach to large lateral and posterior cranial base neoplasms. J Neurosurg 1987;67:488–99.

Fisch

Infratemporal fossa approach to tumors of the temporal bone and base of skull. J Laryngol Otol 1978;92:949–67.

Wei

Lam

Sham

JST

New approach to the nasopharynx, the maxillary swing approach. Head Neck 1991;13:200–7.

Catalano

Biller

Extended osteoplastic maxillotomy, a versatile new procedure for wide access to the central skull base and infratemporal fossa. Arch Otolaryngol Head Neck Surg 1993;119:394–401.

Williams

Chen

The Le Fort I-palatal split approach for skull base tumors: efficacy, complications, and outcome. Plast Reconstr Surg 1998;102:2310–9.

Janecka

Classification of facial translocation approach to the skull base. Otolaryngol Head Neck Surg 1995;112:579–85.

Hao

Facial translocation approach to skull base–the viability of translocated facial bone graft. Otolaryngol Head Neck Surg 2001;124:292–6.