The use of the facial translocation technique in the management of tumors of the paranasal sinuses and skull base.
OBJECTIVE
We sought to assess the efficacy of facial translocation in the management of tumors of the skull base and paranasal sinuses.


METHODS
From July 1993 to December 1999, 75 patients, aged 3 to 102 years old, underwent facial translocation. Thirty-three (44%) patients also underwent a combined neurosurgical procedure. Nineteen (25%) had previous surgery. These patients were followed up to 6 years.


RESULTS
There were 21 benign and 54 malignant tumors. There were no perioperative deaths. The morbidity rate was 31%. Of the 54 patients with malignant tumors, the actuarial 3-year survival rate was 59%, whereas the local control rate was 54%.


CONCLUSIONS
The facial translocation technique offers favorable exposure of the critical zones of the anterior and middle cranial base, thus facilitating extensive resection and reconstruction.


CONCLUSIONS
This study demonstrates that facial translocation is one of the best surgical approaches to the skull base.
Hao
Sheng-Po
SP
Department of Otolaryngology, Chang Gung Memorial Hospital and Chang Gung University, China. shengpo@adm.cgmh.com.tw
Pan
Whei-Lin
WL
Chang
Chen-Nen
CN
Hsu
Yung-Shin
YS
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D019637:Orthopedic Procedures / Q000379:methods; D013517:Otorhinolaryngologic Surgical Procedures / Q000379:methods; D010255:Paranasal Sinus Neoplasms / Q000601:surgery*; D019292:Skull Base Neoplasms / Q000601:surgery*