The ethmoid sinuses: A re-evaluation of surgical resection
| Autor: | Jean R. Herdt, Robert C. Hoye, Alfred S. Ketcham, Robert M. Beazley, Paul B. Chretien, John M. Van Buren |
|---|---|
| Rok vydání: | 1973 |
| Předmět: |
Adult
Male Surgical resection medicine.medical_specialty Adolescent Sphenoid Sinus Intracranial tumor Tumor resection Ethmoid Sinus Methods medicine Humans Neuroectodermal Tumors Primitive Peripheral Child Head and neck Aged Maxillary Neoplasms business.industry Carcinoma En bloc resection Sarcoma General Medicine Middle Aged medicine.disease Surgery Evaluation Studies as Topic Hemostasis Carcinoma Squamous Cell Frontal Sinus Orbital Neoplasms Female Neurosurgery Meningioma business Meningitis Craniotomy Paranasal Sinus Neoplasms Follow-Up Studies |
| Zdroj: | The American Journal of Surgery. 126:469-476 |
| ISSN: | 0002-9610 |
| DOI: | 10.1016/s0002-9610(73)80032-7 |
| Popis: | Summary The combined intracranial transfacial approach to the ethmoid, sphenoid, and frontal sinuses has been satisfactory in performing en bloc resection of cancer arising in or involving these anatomic areas. Fifty-four patients have been treated with this procedure, using the combined expertise of the neurosurgeon and the surgeon interested in the head and neck area. Two postoperative deaths have occurred, both attributed to meningitis. The long range postoperative morbidity is negligible, except as it relates to loss of the palate in all but eight patients and the orbital contents in thirty patients. The cumulative five year survival in this series of patients, forty-two of whom had failure of previous treatment, is 56 per cent. If the procedure is carried out with rigid attention to good surgical technic and the principles of en bloc tumor removal, this combined procedure has the following advantages: (1) allows accurate evaluation of the intracranial tumor extension, (2) protects the brain, (3) avoids cerebrospinal fistulization, (4) provides adequate hemostasis, (5) facilitates en bloc tumor resection, and (6) selectively conserves the orbital contents. |
| Databáze: | OpenAIRE |
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