From September 1976 to December 1987, 25 patients underwent 27 craniofacial resections at the University of Virginia Health Sciences Center. Two of these patients, who had recurrent disease Involving the cavernous sinus, underwent repeat, extended resections. Seventeen of the tumors were esthesloneuroblastomas. Only one patient had received no treatment before surgery. The complications of this surgical technique are reviewed. The most significant complications were neurologic problems and Infection. Additional issues, such as the handling of the eye, lacrimal sac, and medial canthal ligament, are also reviewed.
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References
1.
SmithRRKloppCTWilliamsJM. Surgical treatment of cancer of the frontal sinus and adjacent areas. Cancer1934; 7: 991–4.
2.
KetchamASWilkinsRHVan BurenJMSmithRR. A combined intracranial approach to the paranasal sinuses. Am J Surg1963; 106: 698–703.
3.
NewbillETJohnsMECantrellRW. Esthesioneuroblastoma: Diagnosis and management. South Med J1985; 78: 275–82.
4.
LevinePAMcLeanWCCantrellRW. Esthesioneuroblastoma: The University of Virginia experience. Laryngoscope1986; 96: 742–6.
5.
LevinePAFriersonHFMillsSEStewartFMFechnerRECantrellRW. Sinonasal undifferentiated carcinoma: A distinctive and highly aggressive neoplasm. Laryngoscope1987; 97: 905–8.
6.
ManiguaAJ. Indications and techniques of midfacial degloving. A 15 year experience. Arch Otolaryngol Head Neck Surg1986; 112: 750–2.
7.
JohnsMEKaplanMJParkTSJaneJACantrellRW. Supraorbital rim approach to the anterior skull base. Laryngoscope1984; 94: 1137–9.
8.
SundaresanNShahJP. Craniofacial resection for anterior skull base tumors. Head Neck Surg1988; 10: 219–24.
9.
JohnsMEWinnHRMcLeanWCCantrellRW. Pericranial flap for the closure of defects of craniofacial resections. Laryngoscope1981; 91: 952–8.
10.
SchullerDEGoodmanJHMillerCA. Reconstruction of the skull base. Laryngoscope1984; 94: 1359–64.
11.
StiernbergCMBaileyBJWeinerRL. Calhoun KH, Quinn FB. Reconstruction of the anterior skull base following craniofacial resection. Arch Otolaryngol Head Neck Surg1987; 113: 710–2.
12.
SasakiCTAriyanSSpencerDBuckwalterJ. Pectoralis major myocutaneous reconstruction of the anterior skull base. Laryngoscope1985; 95: 162–6.
13.
SchaeferSDCloseLGMickeyBE. Axial subcutaneous scalp flaps in the reconstruction of the anterior cranial fossa. Arch Otolaryngol Head Neck Surg1986; 112: 745–9.
14.
GoodaleRLMontgomeryWW. Experience with osteoplastic anterior wall approach to frontal sinus. Arch Otolaryngol1958; 68: 271–85.
15.
CheesmanADLundVJHowardDJ. Craniofacial resection for tumors of the nasal cavity and paranasal sinuses. Head Neck Surg1986; 8: 429–35.
16.
PanjeWRDohrmannGJ. The transfacial approach for combined anterior craniofacial neoplastic ablation—a report of 24 cases. Presented at the 2nd international conference on head and neck cancer. Boston, August 4, 1988.
17.
PerryCLevinePAWilliamsonBRCantrellRW. Preservation of the eye in paranasal sinus cancer surgery. Arch Otolaryngol Head Neck Surg1988: 114: 632–4.
