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Dennis H. Kraus, MD; Bruce M. Sterman, MD; Howard L. Levine, MD; Benjamin G. Wood, MD; Harvey M. Tucker, MD; Pierre Lavertu, MD

Arch Otolaryngol Head Neck Surg. 1992;118(4):367-372.

Abstract
• Nineteen patients with primary ethmoid sinus malignancies were treated at the Cleveland (Ohio) Clinic Foundation between 1976 and 1989. Pathologic diagnoses included adenocarcinoma (eight), sarcoma (four), squamous cell carcinoma (three), mucoepidermoid carcinoma (two), adenoid cystic carcinoma (one), and undifferentiated carcinoma (one). All patients underwent surgical resection: 13 had craniofacial resection, four had craniofacial resection/orbital exenteration, one had radical ethmoidectomy/maxillectomy/orbital exenteration, and one had transantral ethmoidectomy. Twelve patients had combined treatment with radiation therapy. Ten patients were alive with no evidence of disease. A trend toward improved prognosis is associated with negative surgical margins. Preservation of the globe was not associated with local recurrence at this site. A poor prognosis was noted with involvement of the dura, brain, nasopharynx, or sphenoid sinus.

(Arch Otolaryngol Head Neck Surg. 1992;118:367-372)

Author Affiliations
From the Department of Otolaryngology and Communicative Disorders, The Cleveland (Ohio) Clinic Foundation. Dr Kraus is now with the Memorial Sloan-Kettering Cancer Center, New York, NY.

Footnotes
Accepted for publication October 17, 1991.

Presented at the spring meeting of the American Society of Head and Neck Surgery, Palm Beach, Fla, May 1, 1990.

Reprint requests to the Department of Otolaryngology and Communicative Disorders, The Cleveland Clinic Foundation, 9500 Euclid Ave, Cleveland, OH 44195-5034 (Dr Lavertu).

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