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

Published online by Cambridge University Press:  29 June 2007

D. Salvan ,
M. Julieron ,
P. Marandas ,
F. Janot ,
A. M. Leridant ,
C. Domenge ,
G. Mamelle ,
G. Schwaab  and
B. Luboinski
D. Salvan*
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Institute Gustave Roussy, Villejuif, France
M. Julieron
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Institute Gustave Roussy, Villejuif, France
P. Marandas
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Institute Gustave Roussy, Villejuif, France
F. Janot
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Institute Gustave Roussy, Villejuif, France
A. M. Leridant
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Institute Gustave Roussy, Villejuif, France
C. Domenge
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Institute Gustave Roussy, Villejuif, France
G. Mamelle
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Institute Gustave Roussy, Villejuif, France
G. Schwaab
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Institute Gustave Roussy, Villejuif, France
B. Luboinski
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Institute Gustave Roussy, Villejuif, France
*
Address for correspondence: Docteur D. Salvan, Clinique ORL, Hôpital Lariboisière, 2 rue Ambroise-Paré, 75475 Paris cedex 10, France
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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.

Keywords

Paranasal sinus neoplasmsEthmoid sinusSurgery, operativeMorbidityMortality
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 112 , Issue 5 , May 1998 , pp. 446 - 450
Copyright
Copyright © JLO (1984) Limited 1998

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Footnotes

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.

References

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: 100–115.CrossRefGoogle ScholarPubMed
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: 1463–1466.CrossRefGoogle ScholarPubMed
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: 765–768.CrossRefGoogle ScholarPubMed
Capper, J. W. R., Radstone, D. J. (1986) Adenocarcinoma of the ethmoid sinuses in High Wycombe. Journal of Laryngology and Otology 90: 157–166.Google Scholar
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: 1203–1208.CrossRefGoogle ScholarPubMed
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: 429–435.CrossRefGoogle ScholarPubMed
Close, L. G., Mickey, B. (1992) Transcranial resection of ethmoid sinus cancer involving the anterior skull base. Skull Base 2: 213–219.CrossRefGoogle ScholarPubMed
Harrison, D. F. (1989) Preservation of the eye in paranasal sinus cancer surgery. Archives of Otolaryngology – Head and Neck Surgery 115: 249.CrossRefGoogle ScholarPubMed
Jackson, I. T., Adham, M. N., Marsh, W. R. (1986) Use of the galeal frontalis myofacial flap in craniofacial surgery. Plastic Reconstructive Surgery 77: 905–910.CrossRefGoogle Scholar
Jesse, R. H. (1965) Preoperative versus postoperative radiation in the treatment of squamous carcinoma of the paranasal sinus. American Journal of Surgery 110: 552–556.CrossRefGoogle Scholar
Johns, M. E., Winn, H. R., McLean, W. C., Cantrell, R. (1981) Pericranial flap for the closure of defects of craniofacial resections. Laryngoscope 6: 952–958.CrossRefGoogle Scholar
Ketcham, A. S., Van Buren, J. M. (1985) Tumors of the paranasal sinuses: A therapeutic challenge. American Journal of Surgery 150: 406–413.CrossRefGoogle ScholarPubMed
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: 482–488.3.0.CO;2-V>CrossRefGoogle Scholar
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: 57–62.3.0.CO;2-#>CrossRefGoogle ScholarPubMed
Kraus, D., Roberts, J. K., Medendorf, S. V. (1990) Non-squamous cell malignancies of the paranasal sinuses. Annals of Otology, Rhinology and Laryngology 99: 5–11.Google Scholar
Kraus, D. H., Shah, J. P., Arbit, E. (1994) Complications of craniofacial resections for tumors involving the anterior skull base. Head and Neck 16: 307–312.CrossRefGoogle ScholarPubMed
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: 367–372.CrossRefGoogle ScholarPubMed
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: 1130–1136.CrossRefGoogle Scholar
Lund, V. J., Harrison, D. F. N. (1988) Craniofacial resection for tumors of the nasal cavity and paranasal sinuses. American Journal of Surgery 156: 187–190.CrossRefGoogle ScholarPubMed
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: 471–479.Google ScholarPubMed
Osguthorpe, J. D. (1994) Sinus neoplasia. Archives of Otolaryngology – Head and Neck Surgery 120: 19–25.CrossRefGoogle ScholarPubMed
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: 301–307.CrossRefGoogle ScholarPubMed
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: 632–634.CrossRefGoogle ScholarPubMed
Rice, D. H. (1985) Benign and malignant tumors of the ethmoid sinus. Otolaryngology Clinics of North America 18: 113–124.CrossRefGoogle ScholarPubMed
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: 129–134.CrossRefGoogle ScholarPubMed
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: 292–297.Google Scholar
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: 29–33.Google Scholar
Saunders, S. H., Ruff, T. (1976) Adenocarcinoma of the paranasal sinuses. Journal of Laryngology and Otology 2: 157–166.CrossRefGoogle Scholar
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: 352–358.CrossRefGoogle Scholar
Sisson, G. A., Toriumi, D. M., Atiyah, R. A. (1989) Paranasal sinus malignancy: a comprehensive update. Laryngoscope 99: 143–150.CrossRefGoogle ScholarPubMed
Stern, S. J., Goepfer, H., Clayman, G., Byers, R., Wolf, P. (1993) Orbital preservation in maxillectomy. Archives of Otolaryngology – Head and Neck Surgery 109: 111–115.CrossRefGoogle ScholarPubMed
Van Tuyl, R., Gussack, G. S. (1991) Prognostic factors in craniofacial surgery. Laryngoscope 101: 240–244.CrossRefGoogle ScholarPubMed
Wax, M. K., Yun, K. J., Wetmore, S. J., Liu, X., Kaufman, H. H. (1995) Adenocarcinomas of the ethmoid sinus. Head and Neck 17: 303–311.CrossRefGoogle ScholarPubMed