Skip to main content

Craniofacial Resection for Tumors of the Ethmoid and Superior Nasal Vault

  • Chapter
Carcinomas of the Head and Neck

Part of the book series: Cancer Treatment and Research ((CTAR,volume 52))

  • 80 Accesses

Abstract

The development and acceptance of the feasibility of surgical resection of the anterior skull base in conjunction with the superior nasal vault has revolutionized the treatment for malignancies in this anatomic locus [1,2]. Prior to this era, complete tumor removal was performed using the limited facial approach, and the addition of the frontal craniotomy not only permitted a safe, controlled resection of the cribriform plate/fovea ethmoidalis region, but also allowed for an accurate evaluation of resectability of the neoplasm in conjunction with a direct route for an oncologic resection of bone, dura, and potentially, brain. This chapter deals with the evaluation and treatment of these rare, difficult malignancies as we treat them at the University of Virginia Health Sciences Center, Department of Otolaryngology-Head and Neck Surgery.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 169.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Smith RR, Klopp CT, Williams JM: Surgical treatment of cancer of the frontal sinus and adjacent areas. Cancer 7:991–994, 1954.

    Article  PubMed  CAS  Google Scholar 

  2. Ketcham AS, Wilkins RH, Van Buren JM, Smith RR: A combined intracranial approach to the paranasal sinuses. Am J Surg 106:698–703, 1963.

    Article  PubMed  CAS  Google Scholar 

  3. Levine PA, Scher RL, Jane JA, Persing JA, Newman SA, Miller J, Cantrell RW: The craniofacial resection—eleven year experience at the University of Virginia: problems and solutions. Otolaryngology—Head and Neck Surg, (in press).

    Google Scholar 

  4. Newbill ET, Johns ME, Cantrell RW: Esthesioneuroblastoma: Diagnosis and management. South Med J 78:275–282, 1985.

    Article  PubMed  CAS  Google Scholar 

  5. Levine PA, Frierson HF, Mills SE, Stewart FM, Fechner RE, Cantrell RW: Sinonasal undifferentiated carcinoma. A distinctive and highly aggressive neoplasm. Laryngoscope 97:905–908, 1987.

    PubMed  CAS  Google Scholar 

  6. Obert GJ, Devine KD, McDonald JR: Olfactory neuroblastoma. Cancer 13:205–215, 1960.

    Article  PubMed  CAS  Google Scholar 

  7. Schenck ML, Ogura JM. Esthesioneuroblastoma. Arch Otolaryngol 96:322–324, 1972.

    PubMed  CAS  Google Scholar 

  8. Taxy JB, Hidvegi DF: Olfactory neuroblastoma. Cancer 39:131–138, 1977.

    Article  PubMed  CAS  Google Scholar 

  9. Frierson HF, Mills SE, Fechner RE, Taxy JB, Levine PA: Sinonasal undifferentiated carcinoma: an aggressive neoplasm derived from schneiderian epithelium and distinct from olfactory neuroblastoma. Am J Surg Pathol 10:771–779, 1986.

    Article  PubMed  Google Scholar 

  10. Phillips CD, Gay SB, Newton RL, Levine PA: Gadolinium (DPTA)—enhanced magnetic resonance imaging of tumors of the head and neck. Head and Neck (in press).

    Google Scholar 

  11. Levine PA, Paling MR, Black WC, Cantrell RW: MRI versus high—resolution CT scanning: Evaluation of the anterior skull base. Otolaryngol Head Neck Surg 96:260–267, 1987.

    PubMed  CAS  Google Scholar 

  12. Virapongse C, Mancuso A, Fitzsimmons J: Value of magnetic resonance imaging in assessing bone destruction in head and neck lesions. Laryngoscope 96:284–291, 1986.

    Article  PubMed  CAS  Google Scholar 

  13. Levine PA, McLean WC, Cantrell RW: Esthesioneuroblastoma. The University of Virginia experience 1960–1985. Laryngoscope 96:742–746, 1986.

    PubMed  CAS  Google Scholar 

  14. Kaplan MJ, Hahn SS, Johns ME, Stewart FM, Constable WC, Cantrell RW: Mitomycin and fluorouracil with concomitant radiotherapy in head and neck cancer. Arch Otolaryngol 111:220–222, 1985.

    PubMed  CAS  Google Scholar 

  15. Perry C, Levine PA, Williamson BR, Cantrell RW: Preservation of the eye in paranasal sinus cancer surgery. Arch Otolaryngol Head Neck Surg 114:632–634, 1988.

    PubMed  CAS  Google Scholar 

  16. Kadish S, Goodman M, Wang CC: Olfactory neuroblastoma: A clinical analysis of 17 cases. Cancer 37:1571–1576, 1976.

    Article  PubMed  CAS  Google Scholar 

  17. Elkon D, Hightower SI, Lim ML, Cantrell RW, Constable WC: Esthesioneuroblastoma. Cancer 44:1087–1094, 1979.

    CAS  Google Scholar 

  18. Million RR, Cassisi NJ, Hamlin DJ: Nasal vestibule, nasal cavity, and paranasal sinuses. In: Million RR, Cassisi NJ (eds). Management of head & neck cancer—A multidisciplinary approach. Philadelphia: JB Lippincott, 173–208, 1984.

    Google Scholar 

  19. Stewart FM, Frierson HF, Levine PA, Spaulding CA: 1988. Esthesioneuroblastoma. In: Williams CJ, Krikorian JG, Green MR, Raghaven D (eds). Textbook of uncommon cancer. New York: John Wiley & Sons 631–652, 1988.

    Google Scholar 

  20. Wade PM, Smith RE, Johns ME: Response of esthesioneuroblastomas to chemotherapy. Report of five cases and review of literature. Cancer 53:1036–1041, 1984.

    Article  PubMed  Google Scholar 

  21. Elner A, Koch A: Combined radiological and surgical therapy of cancer of the ethmoid. Acta Otolaryngol 78:270–276, 1974.

    Article  PubMed  CAS  Google Scholar 

  22. Johns ME, Kaplan MJ, Park TS, Jane JA, Cantrell RW: The supraorbital rim approach to the anterior skull base. Laryngoscope 94:1137–1139, 1984.

    Article  Google Scholar 

  23. Maniglia AJ: Indications and techniques fo midfacial degloving. A 15 year experience. Arch Otolaryngol Head Neck Surg 112:750–752, 1986.

    PubMed  CAS  Google Scholar 

  24. Schuller DE, Goodman JH, Miller CA: Reconstruction of the skull base. Laryngoscope 94:1359–1364, 1984.

    PubMed  CAS  Google Scholar 

  25. Sundaresan N, Shah JP: Craniofacial resection for anterior skull base tumors. Head Neck Surg 10:219–224, 1988.

    PubMed  CAS  Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1990 Kluwer Academic Publishers, Boston

About this chapter

Cite this chapter

Levine, P.A. (1990). Craniofacial Resection for Tumors of the Ethmoid and Superior Nasal Vault. In: Jacobs, C. (eds) Carcinomas of the Head and Neck. Cancer Treatment and Research, vol 52. Springer, Boston, MA. https://doi.org/10.1007/978-1-4613-1499-8_3

Download citation

  • DOI: https://doi.org/10.1007/978-1-4613-1499-8_3

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4612-8806-0

  • Online ISBN: 978-1-4613-1499-8

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics