This Article  • References  • Full text PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

An Analysis of 73 Cases

Peter J. Catalano, MD; Craig S. Hecht, MD; Hugh F. Biller, MD; William Lawson, MD, DDS; Kalmon D. Post, MD; Ved Sachdev, MD; Chandranath Sen, MD; Mark L. Urken, MD

Arch Otolaryngol Head Neck Surg. 1994;120(11):1203-1208.

Abstract
Objective
To determine the morbidity and mortality associated with a large series of patients undergoing craniofacial resection at one institution. The series is also analyzed with respect to pathology, disease recurrence, and role of adjuvant therapy.

Design
Retrospective review with a mean follow-up of 3 years (range, 6 months to 8 years).

Setting
Tertiary care, urban referral center.

Patients
The study included 73 consecutive patients (39 male and 34 female). Ages ranged from 13 to 78 years with a mean of 53.1 years. All patients had benign or malignant tumors of the paranasal sinuses.

Main Outcome Measures
Morbidity associated with craniofacial resection was categorized as follows: early (within 30 days of surgery) or late (>30 days); neurologic, ocular, or infectious.

Results
Overall morbidity rate was 63%, and the mortality rate was 2.7%. Of the patients who had complications develop, 26 had development of major morbidities and there were two mortalities. The most common complications were transient alteration in mental status (15 patients), diplopia (11 patients), cerebrospinal fluid leak (10 patients), and osteomyelitis of the frontal bone flap (eight patients).

Conclusions
Craniofacial resection is an effective surgical treatment for paranasal sinus tumors. The mortality rate is acceptable and morbidity appears directly related to experience with the procedure. Infectious complications were the most devastating.

(Arch Otolaryngol Head Neck Surg 1994;120:1203-1208)

Author Affiliations
From the Departments of Otolaryngology–Head and Neck Surgery (Drs Catalano, Hecht, Biller, Lawson, and Urken) and Neurological Surgery (Drs Post, Sachdev, and Sen), Mount Sinai School of Medicine, Clinical Center for Cranial Base Surgery, New York, NY.

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Craniofacial Resection for Malignant Tumors Involving the Anterior Skull Base
Shah et al.
Arch Otolaryngol Head Neck Surg 1997;123:1312-1317.
ABSTRACT