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William R. Panje, MD; George J. Dohrmann, III, MD; James K. Pitcock, MD; Natan Scher, MD; Ralph R. Weichselbaum, MD; Harold G. Sutton, Jr, MD; Everett Vokes, MD; Jonathan Moss, MD, PhD

Arch Otolaryngol Head Neck Surg. 1989;115(3):301-307.

Abstract
• The transfacial approach to the anterior cranial fossa for tumor removal provides for excellent surgical exposure, improved postoperative appearance, and a minimum of complications. The technique is different from previously reported combined craniofacial ablative procedures in that the head and neck surgeon and the neurosurgeon approach the anterior fossa mass through the same facial incision, thus avoiding the need for a separate craniotomy incision. The formation of a vascularized nasofrontal bone flap allows for better wound healing regardless of preoperative and postoperative radiotherapy and/or chemotherapy. This report presents 42 cases in which the transfacial approach was exclusively used in a combined manner to remove nasal, paranasal sinus, and nasopharyngeal neoplasms. The transfacial technique offers a significant advantage over previously described approaches to the anterior skull base.

(Arch Otolaryngol Head Neck Surg 1989;115:301-307)

Author Affiliations
From the Divisions of Otolaryngology–Head and Neck Surgery (Drs Panje, Pitcock, and Scher) and Neurosurgery (Dr Dohrmann), and the Departments of Radiation Oncology (Drs Weichselbaum and Sutton), Anesthesia (Dr Moss), and Medical Hematology (Dr Vokes), The University of Chicago–Pritzker School of Medicine.

Footnotes
Accepted for publication Sept 13, 1988.

Read before the Second International Conference on Head and Neck Cancer, Boston, Aug 4, 1988.

Reprint requests to Division of Otolaryngology–Head and Neck Surgery, The University of Chicago–Pritzker School of Medicine, 5841 S Maryland Ave, Box 412, Chicago, IL 60637 (Dr Panje).

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