Get access

Endoscopic Techniques in Resection of Anterior Skull Base/Paranasal Sinus Malignancies

Authors

  • Luke Buchmann MD,

    Corresponding author
    1. Department of Otolaryngology Head and Neck Surgery, University of Kansas Medical Center, Kansas City, Kansas, U.S.A.
    • Dr. Luke Buchmann, University of Kansas Medical Center, Department of Otolaryngology Head and Neck Surgery, 3901 Rainbow Blvd., MS3010, Kansas City, KS 66160, U.S.A.
    Search for more papers by this author
  • Christopher Larsen MD,

    1. Department of Otolaryngology Head and Neck Surgery, University of Kansas Medical Center, Kansas City, Kansas, U.S.A.
    Search for more papers by this author
  • Ania Pollack MD,

    1. Department of Neurosurgery, University of Kansas Medical Center, Kansas City, Kansas, U.S.A.
    Search for more papers by this author
  • Ossama Tawfik MD, PhD,

    1. Department of Pathology and Laboratory Medicine, University of Kansas Medical Center, Kansas City, Kansas, U.S.A.
    Search for more papers by this author
  • Kevin Sykes MPH,

    1. Department of Otolaryngology Head and Neck Surgery, University of Kansas Medical Center, Kansas City, Kansas, U.S.A.
    Search for more papers by this author
  • Larry A. Hoover MD, FACS

    1. Department of Otolaryngology Head and Neck Surgery, University of Kansas Medical Center, Kansas City, Kansas, U.S.A.
    Search for more papers by this author

  • Presented at the Middle and Western Sections of the Triological Society, February 3, 2006, San Diego, California, U.S.A.

Abstract

Objective: The objective of this study was to examine the role of endoscopic approaches to the resection of anterior skull base and paranasal sinus malignancies at one tertiary care medical center.

Study Design: The authors conducted a retrospective chart review over a period of 17 years.

Methods: Patients undergoing anterior skull base resections for malignancies over a 17-year period were reviewed. Data were collected on each patient with respect to the pathology of the tumor and approach used as well as demographic and follow-up information.

Results: A total of 78 patients were treated at a tertiary care medical center for malignancies of the paranasal sinuses and anterior skull base. The most common diagnosis was squamous cell carcinoma occurring in 33% of the cases. The remaining pathologies included esthesioneuroblastoma (23%), adenoid cystic carcinoma (15%), melanoma (3%), sinonasal undifferentiated carcinoma (3%), lymphoma (5%), nasopharyngeal carcinoma (4%), and other tumor types (14%). Endoscopic techniques were used extensively in this population of patients. Combined approaches using a sublabial/transmaxillary approach and coronal approaches were used when indicated and complemented the endoscopic approach. A majority of patients were without evidence of disease at the end of this review. Using endoscopic techniques allowed for acceptable cosmetic results and facial incisions were used minimally.

Conclusion: With complete endoscopic surgical resection followed by radiation therapy, local recurrence, morbidity, and cosmetic deformity have been minimized. The microscopic view provided by endoscopic techniques, with or without complementary approaches, allows for complete tumor removal.

Get access to the full text of this article

Ancillary