Skip to main content Accessibility help
×
Home

Combined transfacial and neurosurgical approach to malignant tumours of the ethmoid sinus

  • D. Salvan (a1), M. Julieron (a1), P. Marandas (a1), F. Janot (a1), A. M. Leridant (a1), C. Domenge (a1), G. Mamelle (a1), G. Schwaab (a1) and B. Luboinski (a1)...

Abstract

In order to understand the risks and benefits of a combined transfacial and neurosurgical procedure for neoplasms of the ethmoid sinus, we reviewed all patients who underwent this surgical approach in our department between 1986 and 1994.

The study included 41 patients. Pathological diagnoses included adenocarcinoma (31 patients), squamous cell carcinoma (three patients), aesthesioneuroblastoma (three patients), other (four patients). The overall morbidity rate was 39 per cent, and the post-operative mortality rate was 2.5 per cent. Complications were statistically more likely in patients with bone skull base reconstruction. The main carcinologic failures were local recurrences (24 per cent) and metastases (22 per cent). The one-year, three-year and five-year Kaplan Meir survival rates were respectively 84 per cent, 53 per cent and 36 per cent. In conclusion, the mortality and morbidity were acceptable, especially when no bone skull base reconstruction was performed. Better local control justifies a combined procedure with post-operative radiotherapy when tumours involve or reach the skull base.

Copyright

Corresponding author

Address for correspondence: Docteur D. Salvan, Clinique ORL, Hôpital Lariboisière, 2 rue Ambroise-Paré, 75475 Paris cedex 10, France

Footnotes

Hide All

This paper was presented at the tripartite meeting of the Sections of Odontology, Plastic Surgery and Laryngology of the Royal Society of Medicine, Institut Gustave Roussy, Saturday, June 22, 1996.

Footnotes

References

Hide All
Blacklock, J. B., Weber, R. S., Lee, Y., Goepfert, H. (1989) Transcranial resection of tumors of paranasal sinuses and nasal cavity. Journal of Neurosurgery 71: 100115.
Biller, H. F., Slotnick, D. B., Lawson, W., Green, R. P. (1989) Superior rhinotomy for en bloc resection of bilateral ethmoid tumors. Archives of Otolaryngology – Head and Neck Surgery 115: 14631466.
Brasnu, D., Laccourreye, O., Bassot, V., Laccourreye, L., Naudo, P., Roux, F. X. (1996) Cisplatin-based neoadjuvant chemotherapy and combined resection for ethmoid sinus adenocarcinoma reaching and/or invading the skull base. Archives of Otolaryngology – Head and Neck Surgery 122: 765768.
Capper, J. W. R., Radstone, D. J. (1986) Adenocarcinoma of the ethmoid sinuses in High Wycombe. Journal of Laryngology and Otology 90: 157166.
Catalano, P. J., Hecht, C. S., Biller, H. F., Lawson, W., Post, K. D., Sachdev, V., Sen, C., Urken, M. L. (1994) Craniofacial resection. Archives of Otolaryngology – Head and Neck Surgery 120: 12031208.
Cheesman, A. D., Lund, V. J., Howard, D. J. (1986) Craniofacial resection for tumors of the nasal cavity and paranasal sinuses. Head and Neck Surgery 8: 429435.
Close, L. G., Mickey, B. (1992) Transcranial resection of ethmoid sinus cancer involving the anterior skull base. Skull Base 2: 213219.
Harrison, D. F. (1989) Preservation of the eye in paranasal sinus cancer surgery. Archives of Otolaryngology – Head and Neck Surgery 115: 249.
Jackson, I. T., Adham, M. N., Marsh, W. R. (1986) Use of the galeal frontalis myofacial flap in craniofacial surgery. Plastic Reconstructive Surgery 77: 905910.
Jesse, R. H. (1965) Preoperative versus postoperative radiation in the treatment of squamous carcinoma of the paranasal sinus. American Journal of Surgery 110: 552556.
Johns, M. E., Winn, H. R., McLean, W. C., Cantrell, R. (1981) Pericranial flap for the closure of defects of craniofacial resections. Laryngoscope 6: 952958.
Ketcham, A. S., Van Buren, J. M. (1985) Tumors of the paranasal sinuses: A therapeutic challenge. American Journal of Surgery 150: 406413.
Klitenberg, C., Olofsson, J., Hellquist, H., Sokjer, H. (1984) Adenocarcinoma of the ethmoid sinuses: a review of 28 cases with special reference to wood dust exposure. Cancer 54: 482488.
Knegt, P. P., De Jong, P. C., Van Andel, J. G., De Boer, M. F., Eykenboom, W., Van Der Schans, E. (1985) Carcinoma of the paranasal sinuses: results of a prospective pilot study. Cancer 56: 5762.
Kraus, D., Roberts, J. K., Medendorf, S. V. (1990) Non-squamous cell malignancies of the paranasal sinuses. Annals of Otology, Rhinology and Laryngology 99: 511.
Kraus, D. H., Shah, J. P., Arbit, E. (1994) Complications of craniofacial resections for tumors involving the anterior skull base. Head and Neck 16: 307312.
Kraus, D. H., Sterman, B. M., Levine, H. L., Wood, B. G., Tucker, H. M., Lavertu, P. (1992) Factors influencing survival in ethmoid sinus cancer. Archives of Otolaryngology – Head and Neck Surgery 118: 367372.
Lavertu, P., Roberts, J. K., Kraus, D. H., Levine, H. L., Wood, B. G., Tucker, H. M. (1989) Squamous cell carcinoma of the paranasal sinuses: The Cleveland Clinic experience 1977–1986. Laryngoscope 99: 11301136.
Lund, V. J., Harrison, D. F. N. (1988) Craniofacial resection for tumors of the nasal cavity and paranasal sinuses. American Journal of Surgery 156: 187190.
McCutcheon, I. E., Blacklock, J. B., Weber, R. S., DeMonte, F., Moser, R. P., Byers, M., Goepfert, H. (1996) Anterior transcranial (craniofacial) resection of tumors of the paranasal sinuses: surgical technique and results. Neurosurgery 38: 471479.
Osguthorpe, J. D. (1994) Sinus neoplasia. Archives of Otolaryngology – Head and Neck Surgery 120: 1925.
Panje, W. J., Dohrmann, G. J., Pitcok, J. K., Scher, N., Weichselbaum, R. R., Sutton, H. G., Vokes, E., Moss, J. (1989) The transfacial approach for combined anterior craniofacial tumor ablation. Archives of Otolaryngology – Head and Neck Surgery 115: 301307.
Perry, C., Levine, P. A., Williamson, B. R., Cantrell, R. W. (1988) Preservation of the eye in paranasal sinus cancer surgery. Archives of Otolaryngology – Head and Neck Surgery 114: 632634.
Rice, D. H. (1985) Benign and malignant tumors of the ethmoid sinus. Otolaryngology Clinics of North America 18: 113124.
Roux, F. X., Brasnu, D., Menard, M., Bassot, V., Nguyen, S., Donadieu, S., Chodkiewicz, J. L., Laccourreye, H. (1989) Adenocarcinoma of the ethmoid sinuses. Acta Neurochirurgica 98: 129134.
Roux, F. X., Brasnu, D., Menard, M., Schwaab, G., Janot, F., Lacau St-Guily, J., Trotoux, J., Laccoureye, O. (1991) Les abords combinés des tumeurs malignes de l'ethmoide et des autres sinus paranasaux: Principes et résultats. Annales d'Otorhinolaryngologie et de Chirurgie cervicofaciale 108: 292297.
Roux, F. X., Laccourreye, O., Devaux, B., Cioloca, C., Brasnu, D. (1996) Evolution des techniques de reconstruction de la base antérieure du crane après exérèse tumorale. Annales d'Otorhinolaryngologie et de Chirurgie cervicofaciale 113: 2933.
Saunders, S. H., Ruff, T. (1976) Adenocarcinoma of the paranasal sinuses. Journal of Laryngology and Otology 2: 157166.
Shah, J. P., Sundaresan, N., Galicich, J., Strong, E. W. (1987) Craniofacial resections for tumors involving the base of skull. American Journal of Surgery 154: 352358.
Sisson, G. A., Toriumi, D. M., Atiyah, R. A. (1989) Paranasal sinus malignancy: a comprehensive update. Laryngoscope 99: 143150.
Stern, S. J., Goepfer, H., Clayman, G., Byers, R., Wolf, P. (1993) Orbital preservation in maxillectomy. Archives of Otolaryngology – Head and Neck Surgery 109: 111115.
Van Tuyl, R., Gussack, G. S. (1991) Prognostic factors in craniofacial surgery. Laryngoscope 101: 240244.
Wax, M. K., Yun, K. J., Wetmore, S. J., Liu, X., Kaufman, H. H. (1995) Adenocarcinomas of the ethmoid sinus. Head and Neck 17: 303311.

Keywords

Metrics

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed