Min­i­miz­ing Mor­bid­ity In An­te­rior/ An­tero-lat­eral Skull Base Surgery

Hindustan Times (Chandigarh) - Live - - CITY -

SKULL BASE TU­MORS: Com­plex Anatomy, Var­ied Pathol­ogy, Ad­vanced Pre­sen­ta­tion, Ac­ces­si­bil­ity, Mor­bid­ity. CASE : 46 year old fe­male, Clin­i­cal fea­tures-epis­taxis left nose, nasal block­age and wa­ter­ing left eye ~ 6 months and prop­to­sis of left eye ~ 1 month. MRI ~ naso eth­moid mass oc­cu­py­ing both eth­moids, L nasal cav­ity, breach­ing crib­ri­form plate ,du­ral breach ? & L eye­ball pushed for­ward and lat­er­ally. Bx ( nasal cav­ity)Es­the­sioneu­rob­las­toma Hyams`s grade I. Kadish Stage C Es­the­sioneu­rob­las­toma. Cran­io­fa­cial re­sec­tion fol­lowed by 60 Gy IMRT. AP­PROACHES: Smith RR, Klopp CT, Wil­liams JM. Sur­gi­cal treat­ment of can­cer of the frontal si­nus and ad­ja­cent ar­eas. Can­cer. 1954;7(5):991-994. Ketcham AS, Wilkins RH, Van Buren JM, et ah A com­bined in­tracra­nial ap­proach to the paranasal si­nuses. Am J Surg.1963; 106:698-703. Ja­necka IP, Sen C, Sekhar LN, Ar­riaga M. Fa­cial translo­ca­tion: a new ap­proach to the cra­nial base. Oto­laryn­gol Head Neck Surg 1990;103:413-9. Wei WI, Lam KH, Sham JST. New ap­proach to the na­sophar­ynx: the max­il­lary swing ap­proach. Head Neck. 1991;13:200-207. Sekhar LN, Nanda A, Sen CH, et al: The ex­tended frontal ap­proach to tu­mors of the an­te­rior mid­dle and pos­te­rior skull base. J Neu­ro­surg. 1992;76:198-206. Raveh J, Lae­drach K, Speiser M, et al: The sub­cra­nial ap­proach for fron­toor­bital and an­tero­pos­te­rior skull base tu­mor. Arch Oto­laryn­gol Head Neck Surg. 1993;119:385-393 En­do­scopic Ap­proaches COM­PLI­CA­TIONS: Frontal branch Fa­cial N. tran­sec­tion, Ja­necka IP, Sen C, Sekhar LN, Ar­riaga M. Fa­cial translo­ca­tion: a new ap­proach to the cra­nial base. Oto­laryn­gol Head Neck Surg 1990; 103:413-9. Palatal fis­tula-7/26, five of them sub­se­quently healed, whereas one pa­tient re­quired sur­gi­cal clo­sure and one had to wear a den­tal plate. Wei WI, Lam KH, Sham JST. New ap­proach to the na­sophar­ynx: the max­il­lary swing ap­proach. Head Neck. 1991; 13:200-207.

Azhar Jan Bat­too, M.CH Head and Neck Sur­gi­cal

On­col­ogy

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