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Open Surgical Approaches to the Anterior Skull Base and Paranasal Sinuses

  • Ziv Gil
  • Nevo Margalit
  • Dan M. Fliss
Part of the Head and Neck Cancer Clinics book series (HNCC)

Abstract

The route of spread of tumours originating in the anterior skull base and paranasal sinuses is determined by the complex anatomy of the craniofacial compartments. These tumours may invade laterally to the orbit and middle fossa, inferiorly to the maxillary antrum and palate, posteriorly to the nasopharynx and pterygopalatine fossa (PPF), and superiorly to the cavernous sinus and brain. Recent improvements in endoscopic techniques now allow the resection of benign neoplasms or malignant tumours with minor dural involvement. For advanced-stage malignant tumours and benign tumours with frontal bone involvement, the classical transfacial approaches remain viable surgical techniques.

Keywords

Paranasal Sinus Cavernous Sinus Frontal Sinus Cribriform Plate Anterior Skull Base 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. 1.
    Gil Z, Patel SG, Singh B, et al. Analysis of prognostic factors in 146 patients with anterior skull base sarcoma: An international collaborative study. Cancer 2007;110:1033–41.CrossRefPubMedGoogle Scholar
  2. 2.
    Gil Z, Cohen JT, Spektor S, et al. Anterior skull base surgery without prophylactic airway diversion procedures. Otolaryngol Head Neck Surg 2003;128:681–5.CrossRefPubMedGoogle Scholar
  3. 3.
    Fliss DM, Abergel A, Cavel O, et al. Combined subcranial approaches for excision of complex anterior skull base tumors. Arch Otolaryngol Head Neck Surg 2007;133:888–96.CrossRefPubMedGoogle Scholar
  4. 4.
    Gil Z, Constantini S, Spektor S, et al. Skull base approaches in the pediatric population. Head Neck 2005;27:682–9.CrossRefPubMedGoogle Scholar
  5. 5.
    Margalit N, Wasserzug O, De-Row A, et al. Surgical treatment of juvenile nasopharyngeal angiofibroma with intracranial extension. Clinical article. J Neurosurg Pediatr 2009;4:113–17.CrossRefPubMedGoogle Scholar
  6. 6.
    Gil Z, Abergel A, Leider-Trejo L, et al. A comprehensive algorithm for anterior skull base reconstruction after oncological resections. Skull Base 2007;17:25–37.PubMedCentralCrossRefPubMedGoogle Scholar

Copyright information

© The Author(s) 2012

Authors and Affiliations

  1. 1.Head and Neck Surgery Unit, Department of Otolaryngology, Head and Neck and Maxillofacial SurgeryTel Aviv Sourasky Medical Center, Tel Aviv UniversityTel AvivIsrael
  2. 2.Department of NeurosurgeryTel Aviv Sourasky Medical Center, Tel Aviv UniversityTel AvivIsrael
  3. 3.Department of Otolaryngology, Head and Neck and Maxillofacial SurgeryTel Aviv Sourasky Medical Center, Tel Aviv UniversityTel AvivIsrael

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