Evaluation de l'exérèse combinée neurochirurgicale et transfaciale des tumeurs rhino-sinusales extensives infiltrant la base antérieure du crâne [Evaluation of combined neurosurgical and trans-facial excision of extensive rhinosinus tumors infiltrating the anterior skull base].

Details

Serval ID
serval:BIB_4881C5AD4169
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Evaluation de l'exérèse combinée neurochirurgicale et transfaciale des tumeurs rhino-sinusales extensives infiltrant la base antérieure du crâne [Evaluation of combined neurosurgical and trans-facial excision of extensive rhinosinus tumors infiltrating the anterior skull base].
Journal
Annales d'Oto-Laryngologie et de Chirurgie Cervico-Faciale
Author(s)
Pillevuit O., Maire R., Lang F.J.
ISSN
0003-438X (Print)
ISSN-L
0003-438X
Publication state
Published
Issued date
1999
Volume
116
Number
5
Pages
270-277
Language
french
Notes
Publication types: English Abstract ; Journal Article
Publication Status: ppublish
Abstract
Rhino-sinusal tumors are rare, representing approximately 0.3% of all cancers and 3% of tumors of the upper respiratory and digestive tracts. In cases in which the tumor has infiltrated the anterior cranial base, the treatment of choice is a surgical resection by combined neurosurgical and transfacial approach giving the best possible exposition for the excision. The resection is associated with various reconstruction techniques according to the extent of the defect. Sixteen patients with rhino-sinusal tumors extending to the anterior cerebral cavity were operated at the ENT clinic of the CHUV in Lausanne between 1977 and 1997. The transfacial and neurosurgical combined approach is rarely curative (30% 5 years survival rate, 80% local recurrence during follow-up), but is still justified, given that its disabling side-effects are scarce. It offers an acceptable quality of life and prevents complications inherent to the natural development of tumors. Pre- or postoperative radio- and chemotherapy, as well as skull base reconstructions using bone grafts or a micro-anastomosed flap give rise to complications which worsen significantly the overall prognosis and should therefore be avoided as much as possible. Still, this heavy surgery remains indicated, because it prevents the numerous complications of the natural course of the disease and offers an acceptable quality of life with only few side-effects.
Keywords
Adult, Aged, Craniotomy/methods, Female, Follow-Up Studies, Humans, Male, Middle Aged, Neoplasm Invasiveness, Neoplasm Staging, Nose Neoplasms/mortality, Nose Neoplasms/pathology, Paranasal Sinus Neoplasms/mortality, Paranasal Sinus Neoplasms/pathology, Reoperation, Retrospective Studies, Skull Base Neoplasms/mortality, Skull Base Neoplasms/pathology, Survival Rate
Pubmed
Create date
25/01/2008 11:00
Last modification date
20/08/2019 13:55
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