Sinonasal tumors with orbital involvement: the combined approach
■
Alexandre Anesi
Head & Neck Surgery, Cranio maxillo-facial Surgery, University Hospital of Modena, Modena
Assistant Professor
via del Pozzo 71, 41126 Modena
059/422 2325 340/4737719 059/422 2454
alexandre.anesi@unimore.it
Giuseppe Pollastri - Head & Neck Surgery, Cranio maxillo-facial Surgery, University Hospital of Modena, Modena Donato Tanza - Head & Neck Surgery, Cranio maxillo-facial Surgery, University Hospital of Modena, Modena Francesco Ruscitti - Head & Neck Surgery, Cranio maxillo-facial Surgery, University Hospital of Modena, Modena
Sara Barberini - Head & Neck Surgery, Cranio maxillo-facial Surgery, University Hospital of Modena, Modena
Luigi Chiarini - Head & Neck Surgery, Cranio maxillo-facial Surgery, University Hospital of Modena, Modena
Advanced sinonasal tumors often present with orbital involvement. Surgical treatment and radical excision are also possible preserving the eye. Oncological safety and functional outcome of preserved eye are the counterpart in orbital preservation surgery. Irrespectively of the orbital invasion, tumor histology influences the prognosis. Surgical approaches to the orbit in sinonasal tumor are divided in anterior and posterolateral procedures. The combined transfacial and trancranial surgical approach have been well described in the literature for craniofacial resection, when the anterior or medium skull base are involved. Multidisciplinary collaboration with microscopic and/or endoscopic control have improved surgical technique to extirpate tumors extended to dura, spehenopalatine area and pterygomaxilmary fissure, infratemporal fossa, roof of nasopharynx and apex of orbit. We describe the multiphase combined surgical approach whit maxillofacial, otolaryngology and neurosurgical collaboration in sinonasal tumor treatment.
Patel SG et al. Craniofacial Surgery for Malignant Skull Base Tumors Report of an International Collaborative Study. CANCER September 15, 2003 / Volume 98 / Number 6.
Ganly I et al. Craniofacial resection for malignant paranasal sinus tumors: report of an international collaborative study. Head Neck 2005;27:575–584. Suárez C et al. Management of the orbit in malignant sinonasal tumors. Head Neck. 2008 Feb;30(2):242-50.
