Document Detail


Removal of large benign cephalonasal tumours by transbasal surgery combined with endonasal endoscopic sinus surgery and neuronavigation.
MedLine Citation:
PMID:  17261369     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: A retrospective study has been made of the transbasal and endonasal endoscopic sinus surgery of 29 cases with cephalonasal tumours treated in this hospital since 2001 in order to evaluate their clinical outcome. METHODS: There were 18 male and 11 female patients aged between 4 and 55 years (mean 32.2 years). The tumours were located in the anterior or middle skull base, the paranasal sinus, and/or the nasal cavity. All patients underwent surgical resection via the transbasal surgery technique before endonasal endoscopic sinus surgery was performed. In 20 cases neuronavigation was used in addition to locate the tumour and adjoining structures. RESULTS: Twenty-seven cases had a complete removal of the tumour whilst the others had only a subtotal resection. None of the patients died as a result of the operation. A follow-up study of 7 months to 4 years aided by CT and MRI showed no evidence of recurrence in 26 out of the 29 patients. The three other patients had to undergo a second operation or postoperative radiotherapy to treat a recurrence. The long-term postoperative sequelae included hypoosmia, ophthalmoplegia, paralysis of the 6th cranial nerve or hypopsia in 8 patients. CONCLUSION: Transbasal surgery combined with endonasal endoscopic sinus surgery and neuronavigation is a particularly useful technique for resecting large benign cephalonasal tumours.
Authors:
Zhou Fei; Xiang Zhang; Xiao-fan Jiang; Wei-ping Liu; Xi-lin Wang; Li Xie
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2007-01-29
Journal Detail:
Title:  Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery     Volume:  35     ISSN:  1010-5182     ISO Abbreviation:  J Craniomaxillofac Surg     Publication Date:  2007 Jan 
Date Detail:
Created Date:  2007-03-02     Completed Date:  2007-07-03     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8704309     Medline TA:  J Craniomaxillofac Surg     Country:  Scotland    
Other Details:
Languages:  eng     Pagination:  30-4     Citation Subset:  D; IM    
Affiliation:
Department of Neurosurgery, Xijing Hospital, Fourth Military Medical University, Xian, PR China. feizhou@fmmu.edu.cn
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MeSH Terms
Descriptor/Qualifier:
Abducens Nerve Diseases / etiology
Adolescent
Adult
Child
Child, Preschool
Deglutition Disorders / etiology
Endoscopy / methods*
Female
Follow-Up Studies
Head and Neck Neoplasms / surgery*
Humans
Male
Middle Aged
Nasal Cavity / surgery
Neoplasm Recurrence, Local / surgery
Neoplasm, Residual / pathology
Neuronavigation / methods*
Nose Neoplasms / surgery
Olfaction Disorders / etiology
Ophthalmoplegia / etiology
Paralysis / etiology
Paranasal Sinus Neoplasms / surgery
Radiotherapy, Adjuvant
Reoperation
Retrospective Studies
Skull Base / surgery*
Skull Base Neoplasms / surgery

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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