caa a22 4500 445298235 CHVBK 20180317142548.0 cr unu---uuuuu 170323e20100601xx s 000 0 eng 10.1007/s12070-010-0045-1 doi (NATIONALLICENCE)springer-10.1007/s12070-010-0045-1 Anterior craniofacial resection — for paranasal sinus tumors involving anterior skull base [Elektronische Daten] [Saurabh Varshney, S. Bist, Nitin Gupta, R. Singh, Sanjeev Bhagat] Management of anterior skull base tumors is complex due to the anatomic detail of the region and the variety of tumors that occur in this area. Currently, the "gold standard” for surgery is the anterior craniofacial approach. Craniofacial resection represents a major advance in the surgical treatment of tumors of the paranasal sinuses involving anterior skull base. It allows wide exposure of the complex anatomical structures at the base of skull permitting monobloc tumor resection. This study presents a series of 18 patients with anterior skull base tumors, treated by a team of head-neck surgeons and neurosurgeons. The series included 15 malignant tumors of the nose and paranasal sinuses and 3 extensive benign lesions. All tumors were resected by a combined bi-frontal craniotomy and rhinotomy. The skull base was closed with a pediculated pericranial flap and a split-thickness free skin graft underneath. There were no postoperative problems of wound infection, cerebrospinal fluid-leakage or meningitis. Recurrent tumor growth or systemic metastasis occurred in 3 out of 15 patients with malignant tumors, 6 months to 2 years postoperatively. Craniofacial resection was thus found to give excellent results with low morbidity in malignant lesions and can also be adapted for benign tumors of anterior skull base. Association of Otolaryngologists of India, 2010 Craniofacial approach nationallicence Anterior skull base tumor nationallicence Varshney Saurabh Department of ENT and Head Neck Surgery, Himalayan Institute of Medical Sciences (HIHT University), 248 140, Jollygrant, Doiwala, Dehradun, Uttaranchal, India aut Bist S. Department of ENT and Head Neck Surgery, Himalayan Institute of Medical Sciences (HIHT University), 248 140, Jollygrant, Doiwala, Dehradun, Uttaranchal, India aut Gupta Nitin Department of ENT and Head Neck Surgery, Himalayan Institute of Medical Sciences (HIHT University), 248 140, Jollygrant, Doiwala, Dehradun, Uttaranchal, India aut Singh R. Department of ENT and Head Neck Surgery, Himalayan Institute of Medical Sciences (HIHT University), 248 140, Jollygrant, Doiwala, Dehradun, Uttaranchal, India aut Bhagat Sanjeev Department of ENT and Head Neck Surgery, Himalayan Institute of Medical Sciences (HIHT University), 248 140, Jollygrant, Doiwala, Dehradun, Uttaranchal, India aut Indian Journal of Otolaryngology and Head & Neck Surgery Springer-Verlag 62/2(2010-06-01), 103-107 0019-5421 62:2<103 2010 62 12070 https://doi.org/10.1007/s12070-010-0045-1 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s12070-010-0045-1 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Varshney Saurabh Department of ENT and Head Neck Surgery, Himalayan Institute of Medical Sciences (HIHT University), 248 140, Jollygrant, Doiwala, Dehradun, Uttaranchal, India aut NATIONALLICENCE 700 1- Bist S. Department of ENT and Head Neck Surgery, Himalayan Institute of Medical Sciences (HIHT University), 248 140, Jollygrant, Doiwala, Dehradun, Uttaranchal, India aut NATIONALLICENCE 700 1- Gupta Nitin Department of ENT and Head Neck Surgery, Himalayan Institute of Medical Sciences (HIHT University), 248 140, Jollygrant, Doiwala, Dehradun, Uttaranchal, India aut NATIONALLICENCE 700 1- Singh R. Department of ENT and Head Neck Surgery, Himalayan Institute of Medical Sciences (HIHT University), 248 140, Jollygrant, Doiwala, Dehradun, Uttaranchal, India aut NATIONALLICENCE 700 1- Bhagat Sanjeev Department of ENT and Head Neck Surgery, Himalayan Institute of Medical Sciences (HIHT University), 248 140, Jollygrant, Doiwala, Dehradun, Uttaranchal, India aut NATIONALLICENCE 773 0- Indian Journal of Otolaryngology and Head & Neck Surgery Springer-Verlag 62/2(2010-06-01), 103-107 0019-5421 62:2<103 2010 62 12070 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer