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G. Patrick Bridger, MD; Michael Baldwin, MD

Arch Otolaryngol Head Neck Surg. 1989;115(3):308-312.

Abstract
• Two surgical approaches were used for nasal and ethmoid cancers involving the anterior skull base. A craniofacial operation with the assistance of a neurosurgeon was employed when the cribriform plate was infiltrated. A frontofacial operation through the frontal sinus was preferred when the cribriform plate was radiologically intact. Thirty patients underwent radical surgery with a minimum three-year follow-up. Thirteen of 16 patients with adenocarcinoma survived. Since 1980, nine patients have had their surgical defects repaired with a revascularized tensor fascia lata muscle and skin flap. The flap is tailored to support the cranial contents, provide muscle bulk for the orbitomaxillectomy cavity, and provide skin for the face, nasal, and palatal surfaces. There were two free flap failures.

(Arch Otolaryngol Head Neck Surg 1989;115:308-312)

Author Affiliations
From the Departments of Otolaryngology (Dr Bridger) and Plastic and Reconstructive Surgery (Dr Baldwin), Prince of Wales Hospital, Sydney, Australia.

Footnotes
Accepted for publication Sept 30, 1988.

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

Reprint requests to Suite 1, 21 Kitchener Parade, Bankstown, New South Wales 2200, Australia (Dr Bridger).

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