Surgical considerations in malignant neoplasia of nose and paranasal sinuses
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Most recurrences of cancers of the nose and paranasal sinuses are attributed to inadequate local control of disease. Since such tumours are usually advanced a standard maxillectomy procedure is inadequate Nevertheless batter local control is obtainable by modifying palatal zygomatic or superior bone cuts (cranifacial resection) or including an appropriate part of the septum in the specimen. This paper describes 78 such cases undergoing surgicad ablation. Uses of CT and modifications of standard surgical techniques adapted for various tumour extensions are described.
KeywordsNasal Cavity Paranasal Sinus Maxillary Sinus Pterygopalatine Fossa Spindle Cell Carcinoma
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