Resection Of Upper Aerodigestive Tract Tumors Involving The Middle Cranial Fossa

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Anterior Craniofacial (Transcranial) Resection for Tumors of

anterior cranial fossa. Craniofacial resection allows wide exposure of the complex anatomical structures at the base of skull permitting monobloc tumor resection. Methods: Twenty-one patients underwent anterior craniofacial resection for nose and paranasal sinus tumors involving the cribriform

Hospital Universitario Príncipe de Asturias. Universidad de

Rosenmuller fossa and case two presented a granular erythematous mass involving the cavum. Computed tomography scan was performed showing a nonenhancing soft tissue mass in nasopharynx without bony destruction. RESULTS: The diagnosis was revealed by pathologic examination. In case one, congo-red staining


fossa, internal auditory canals, cranial nerves (e.g., vestibular nerve section and joint neurosurgicalneurotological resection of - intradural VIII nerve tumors), and lateral skull bse (including the a occipital bone, sphenoid bone, temporal bone, mesial aspect of the dura and intradural management), in conjunction with neurological surgery.

Sinonasal Tumors - The Clinics

orbit; tumor growth into the pterygoid fossa or ethmoid sinus T4a Tumor growth into the anterior orbit, pterygoid plates, infratemporal fossa, cribriform plate, frontal sinus, sphenoid sinus, or skin of cheek T4b Tumor growth into the orbital apex, dura, brain, middle cranial fossa, cranial nerves other than V2, nasopharynx and clivus 598 Sen et al

Axial Subcutaneous Scalp Flaps in the Reconstruction of the

resection of upper aerodigestive tract tumors involving the anterior cranial fossa is the difficultyin recon¬ structing the floor of the anterior skull base with a viable, watertight separation between these two sites.1'3 Such reconstruction has traditionally involved full-thickness scalp flaps, skin grafts, and, most recently, free flaps.15

Braz J Otorhinolaryngol. 2013;79(6):760-79. REVIEW ARTICLE

(anterior coronal approaches), the floor of the middle cranial fossa (middle coronal approaches), and the jugular foramen (posterior coronal approaches)9. Unfortunately, advances in the reconstruction after endoscopic endonasal approaches lagged signifi - cantly behind advances in the approach and resection of tumors of the skull base.

Anterior craniofacial resection for paranasal sinus tumors

approximately 3% of the malignancies that arise in the upper aerodigestive tract. Approximately 10% of tumors that arise as a part of a more complex resection involving the infratemporal fossa

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accounting for 4% of all plasma cell tumors, mainly arising in the head and neck, particularly the upper aerodigestive tract. Plasmacytomas generally present as bone or soft-tissue tumors with a variable mass effect, pain, and infiltrative behavior [2]. The typical clinical features of MM are bone pain, weakness, fatigue, fever and infection.

Outcomes following Microvascular Free Tissue Transfer in

magnum. Region II defects result from tumors originating from the lateral SB, primarily the infratemporal and ptery-gopalatine fossae, which may extend into the middle cranial fossa. Region III defects are almost all associated with tumors arising from the ear,parotid, or temporalbone,and theymay extend into the middle or posterior cranial


Sinonasal malignancies are arare subset of malignancies of the upper aerodigestive tract which had been traditionally approached via open techniques. This article pri-marily addresses a paradigm shift in endoscopic endonasal oncological resection utilizing principles of tumor disassembly and negative margins. The surgical steps

Case Report Radiotherapy after surgery for advanced adenoid

disease was identified that extended to the middle cranial fossa, and microscopic residual disease persisted at the left soft and hard palate and upper alveolus. During surgery and after en-bloc resection, two nylon catheters spaced 1 cm apart were positioned in the area of gross residual disease (figure 2), and were

Principles of Skull Base Reconstruction After Ablative Head

separate the upper aerodigestive tract or outside world from the central nervous system, carrying with it the risk of cerebrospinal fluid leak, meningitis, abscess, and the sequelae of such complications. Early reconstructive efforts were fraught with complications and difficulty.2 Nevertheless, operative mortality has significantly decreased


sphenoid sinus, the cavernous sinus, and the middle cranial fossa.3°, 54, ffi, lZ7 Spread of tumor into these areas makes conventional surgery untenable, because a negative-margin resection is not possible under these circumstances. Involvement of the frontal lobe, orbit, or skin does not preclude resection.

Anterior craniofacial resection for paranasal sinus tumors

as a part of a more complex resection involving the infratemporal fossa and anterolateral cranial base, as well as the middle cranial fossa, cavernous sinus, etc.

Craniofacial Reconstruction Following Oncologic Resection

defined as those occurring from resection of tumors arising from or involving the floor of the anterior, middle, or posterior cranial fossae. These resections involve removal of cranial bone, with or without incision of the dura. The classification system described by Irish and colleagues5 remains the most useful for describing skull base