CRANIOFACIAL RESECTION OF ANTERIOR SKULL BASE TUMOURS: FACTORS CONTRIBUTING TO SUCCESS
Article first published online: 21 JAN 2008
Australian and New Zealand Journal of Surgery
Volume 68, Issue 5, pages 350–353, May 1998
How to Cite
Rutter, M. J., Furneaux, C. E. and Morton, R. P. (1998), CRANIOFACIAL RESECTION OF ANTERIOR SKULL BASE TUMOURS: FACTORS CONTRIBUTING TO SUCCESS. Aust. N.Z. J. Surg., 68: 350–353. doi: 10.1111/j.1445-2197.1998.tb04770.x
- Issue published online: 21 JAN 2008
- Article first published online: 21 JAN 2008
- Accepted for publication 15 September 1997.
- anterior skull base;
- craniofacial resection;
- paranasal sinuses.
A case series of 20 consecutive patients followed for a minimum of 54 months following craniofacial resection of anterior skull base tumours is presented, with the aim of identifying complications and factors influencing survival.
A retrospective review of a case series of 20 consecutive patients was carried out.
Dural invasion was significantly correlated with poorer survival. There was also a tendency for tumour grade and positive resection margins to be associated with poorer outcome. Most local recurrences occurred within 6 months of surgery, with the exception of adenocarcinoma of the ethmoids, in which recurrence occurred up to 36 months postoperatively. A variety of complications were encountered, with a marked decrease in serious complications from midway through the series.
The change in pattern of complications may be indicative of a learning curve, or the discontinuation of the use of lumbar drainage.