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The Essential Role of Surgery

Peter Ernest Robin, MD, FRCS; Dorothy Jean Powell, BSc, FIS

Arch Otolaryngol. 1981;107(3):138-140.

Abstract
• Two hundred eighty-two cases of 624 cases of carcinoma of the nasal cavity and paranasal sinuses were studied. All had a clinical evaluation of the extent of carcinoma, followed by surgical procedures. By a process of defining 13 possible compartments or extensions and enumerating them before and after surgery, it was possible to show that approximately one third of the cases had errors in preoperative assessment. Underestimates preponderated. It is suggested that diagnosis is one important role of surgery, in addition to the directly therapeutic effect of excision. Surgery is also essential as a guide to further excision and to the accurate application of radiotherapy treatment fields.

(Arch Otolaryngol 1981;107:138-140)

Author Affiliations
From the Birmingham Area Health Authority, Dudley Road Hospital and the University of Birmingham (Dr Robin); and Birmingham and West Midlands Regional Cancer Registry, Queen Elizabeth Medical Center (Ms Powell), Birmingham, England.

Footnotes
Accepted for publication April 12, 1980.

Reprint requests to Birmingham Area Health Authority, Dudley Road Hospital, Birmingham, B18 7QH England (Dr Robin).

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