En bloc resection of an ethmoid carcinoma involving the orbit and medial wall of the cavernous sinus.
The involvement of the cavernous sinus by malignant tumors has limited their surgical treatment. We report here a successful en bloc resection of an invasive ethmoid carcinoma involving the cavernous sinus in a 46-year-old man. To prepare for surgery on this patient, a cadaver study was performed to investigate the feasibility of en bloc cavernous sinus resection and reconstruction. The preoperative evaluation, operative approach, and postoperative management are presented.
Origitano
T C
TC
Department of Physiology, Loyola University Medical Center, Maywood, Illinois.
al-Mefty
O
O
Leonetti
J P
JP
Izquierdo
R
R
D000230:Adenocarcinoma / Q000473:pathology / Q000601:surgery*; D016893:Carotid Stenosis / Q000628:therapy; D002426:Cavernous Sinus / Q000473:pathology / Q000601:surgery*; D003399:Craniotomy / Q000379:methods*; D005005:Ethmoid Sinus / Q000473:pathology / Q000601:surgery*; D006438:Hemodilution; D006801:Humans; D002546:Ischemic Attack, Transient / Q000628:therapy; D008279:Magnetic Resonance Imaging; D008297:Male; D008866:Microsurgery / Q000379:methods*; D008875:Middle Aged; D009915:Orbit / Q000473:pathology; D009918:Orbital Neoplasms / Q000473:pathology / Q000601:surgery*; D010255:Paranasal Sinus Neoplasms / Q000473:pathology / Q000601:surgery*; D011183:Postoperative Complications / Q000628:therapy