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J R Soc Med. 1980 June; 73(6): 413–419.
PMCID: PMC1437623

Transcranial-facial approach for tumours of superior paranasal sinuses and orbit1


A monobloc resection of the fronto-ethmoid sphenoid area may be performed through a combined cranial and facial approach. Osmotic cerebral dehydration increases the exposure of the anterior cranial fossa. The results of treatment in 26 patients (24 with malignant disease of the ethmoid area who had disease recurrence after previous radiotherapy with or without surgery) and the complications encountered are described. The clinical details of 9 of these patients have been included in an earlier report (Clifford 1977).

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Clifford P. Transcranial approach for cancer of the antroethmoidal area. Clin Otolaryngol Allied Sci. 1977 May;2(2):115–130. [PubMed]
  • Harrison DF. The natural history of some cancers affecting the head and neck. J Laryngol Otol. 1972 Dec;86(12):1189–1202. [PubMed]
  • Ketcham AS, Chretien PB, Van Buren JM, Hoye RC, Beazley RM, Herdt JR. The ethmoid sinuses: a re-evaluation of surgical resection. Am J Surg. 1973 Oct;126(4):469–476. [PubMed]
  • Ketcham AS, Hoye RC, Van Buren JM, Johnson RH, Smith RR. Complications of intracranial facial resection for tumors of the paranasal sinuses. Am J Surg. 1966 Oct;112(4):591–596. [PubMed]
  • Millar HS, Petty PG, Wilson WF, Hueston JT. A combined intracranial and facial approach for excision and repair of cancer of the ethmoid sinuses. Aust N Z J Surg. 1973 Sep;43(2):179–183. [PubMed]
  • Schramm VL, Jr, Myers EN, Maroon JC. Anterior skull base surgery for benign and malignant disease. Laryngoscope. 1979 Jul;89(7 Pt 1):1077–1091. [PubMed]
  • Shah JP, Galicich JH. Craniofacial resection for malignant tumors of ethmoid and anterior skull base. Arch Otolaryngol. 1977 Sep;103(9):514–517. [PubMed]
  • Sisson GA, Bytell DE, Becker SP, Ruge D. Carcinoma of the paranasal sinuses and cranial-facial resection. J Laryngol Otol. 1976 Jan;90(1):59–68. [PubMed]
  • SMITH RR, KLOPP CT, WILLIAMS JM. Surgical treatment of cancer of the frontal sinus and adjacent areas. Cancer. 1954 Sep;7(5):991–994. [PubMed]
  • Tanner NS, Shaw HJ, Clifford P. Massive chondroma of skull base. J R Soc Med. 1979 Aug;72(8):615–618. [PMC free article] [PubMed]
  • Van Buren JM, Ommaya AK, Ketcham AS. Ten years' experience with radical combined craniofacial resection of malignant tumors of the paranasal sinuses. J Neurosurg. 1968 Apr;28(4):341–350. [PubMed]
  • Westbury G, Wilson JS, Richardson A. Combined craniofacial resection for malignant disease. Am J Surg. 1975 Oct;130(4):463–469. [PubMed]

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