[Surgical problems arising from ethmoid adenocarcinomas].
Adenocarcinomas are the most frequent ethmoid tumors. The only curative treatment at present is surgery. Potential extensions of these tumors require a wide exeresis. This is best ensured with an approach that is cranial and of the Cairns type at first, then in some cases facial and patterned on the Moure-Sebileau course of approach. This procedure demands the immediate reconstruction of the 3 levels involved: the dura mater, the bone and the mucosa of the nasal fossae. We reconstruct the dura mater with a pericranial flap, the bone with bone grafts, and the mucosa with a flap from the galea.
Chassagne
J F
JF
Service de chirurgie maxillo-faciale, CHRU de Nancy, Hôpital central.
Czorny
A
A
Marchal
J C
JC
Beurton
P
P
Gendrault
P
P
Nouri
K
K
Sibille
P
P
Dinh Doan
G
G
D000230:Adenocarcinoma / Q000601:surgery*; D004388:Dura Mater / Q000601:surgery; D005005:Ethmoid Sinus / Q000601:surgery*; D006801:Humans; D009297:Nasal Mucosa / Q000601:surgery; D010255:Paranasal Sinus Neoplasms / Q000601:surgery*; D013524:Surgical Flaps; D013514:Surgical Procedures, Operative / Q000379:methods
Problèmes chirurgicaux posés par les adénocarcinomes de l'ethmoïde.