6533b82cfe1ef96bd128ff79

RESEARCH PRODUCT

Microsurgical treatment of midfacial tumours involving the skull base

Joachim M. GilsbachUlrich JoosWolf J. Mann

subject

MaleMicrosurgerymedicine.medical_specialtyEstheticsmedicine.medical_treatmentSkull NeoplasmsNoseSkull Base NeoplasmsFacial BonesParanasal SinusesAblative casemedicineHumansNeoplasm InvasivenessSurvival rateRetrospective StudiesMouthSurgical approachbusiness.industryRetrospective cohort studyPlastic Surgery ProceduresMicrosurgeryCarcinoma Adenoid CysticMicrosurgical treatmentOsteotomySurgerySurvival RateSkullTreatment Outcomemedicine.anatomical_structureOtorhinolaryngologyNeoplasm InvasivenessCarcinoma Squamous CellFemaleRadiotherapy AdjuvantSurgeryOral SurgeryMeningiomabusinessCraniotomy

description

Various approaches to the base of the skull for the treatment of cranial base tumours are described in detail. Advantages and disadvantages of the particular approaches are discussed. This clinical experience is based on 303 neoplasms involving the base of the skull, operated on by the authors. Retrospective survival studies are presented and a review of the literature on the subject is discussed. Utilizing microsurgical techniques the 2-, 3- and 5-year survival rates were significantly improved. The functional and aesthetic outcomes were also dramatically superior compared with standard ablative procedures. Reconstructive postoperative strategies are suggested.

yearjournalcountryeditionlanguage
1998-08-01Journal of Cranio-Maxillofacial Surgery
https://doi.org/10.1016/s1010-5182(98)80018-8