» Articles » PMID: 16080312

Nasal Cheek Flap in Ethmoidal and Skull Base Tumour Surgery: Results and Complications

Overview
Date 2005 Aug 6
PMID 16080312
Authors
Affiliations
Soon will be listed here.
Abstract

Surgery is the treatment of choice for the management of malignant nasal/ethmoidal tumours, followed, in most cases, by external radiotherapy. Two main procedures are adopted to resect these tumours depending upon stage and extension: ethmoidectomy and medial maxillectomy, via a transfacial approach, or craniofacial resection with a combined transcranial and transfacial approach. The nasal cheek flap technique allows complete nasal swing thus obtaining a wide access to both the nasal fossae and the ethmoidal labyrinth. Furthermore, this approach can also be used in the management of small intracranial tumours extended through the skull base to the nasal cavity, paranasal sinuses, upper and middle clivus. We have used the nasal cheek flap since 1992 with good aesthetic and functional results. Aim of the present study was to analyse personal experience, focusing on complications, aesthetic results and self-evaluation expressed by the patients.

References
1.
Panje W, Dohrmann 3rd G, Pitcock J, Scher N, Weichselbaum R, Sutton Jr H . The transfacial approach for combined anterior craniofacial tumor ablation. Arch Otolaryngol Head Neck Surg. 1989; 115(3):301-7. DOI: 10.1001/archotol.1989.01860270043012. View

2.
Bagatella F, Mazzoni A . Microsurgery in juvenile nasopharyngeal angiofibroma: a lateronasal approach with nasomaxillary pedicled flap. Skull Base Surg. 1995; 5(4):219-26. PMC: 1656523. DOI: 10.1055/s-2008-1058919. View

3.
Schramm Jr V, Myers E, Maroon J . Anterior skull base surgery for benign and malignant disease. Laryngoscope. 1979; 89(7 Pt 1):1077-91. View

4.
Cantu G, Solero C, Mariani L, Mattavelli F, Pizzi N, Licitra L . A new classification for malignant tumors involving the anterior skull base. Arch Otolaryngol Head Neck Surg. 1999; 125(11):1252-7. DOI: 10.1001/archotol.125.11.1252. View

5.
Lund V, Harrison D . Craniofacial resection for tumors of the nasal cavity and paranasal sinuses. Am J Surg. 1988; 156(3 Pt 1):187-90. DOI: 10.1016/s0002-9610(88)80063-1. View