title: [The modified rhinotomy for treatment of tumors involving skull base].
abstract: OBJECTIVE
  To introduction the clinical application and surgical technique of the modified rhinotomy for treatment of skull base neoplasms.
  
  
  METHODS
  The diagnosis and surgical outcome of 20 patients with skull base neoplasms were reviewed retrospectively.
  
  
  RESULTS
  All the cases were involvement with nasal cavity, ethmoidal sinus, sphenoidal sinus and medial wall of orbit. Two cases were involvement with pterygopalatine fossa, infratemporal fossa and intra calvarium separately. All cases were treated by modified rhinotomy. Among that 2 patient were with juvenal angiofibroma treated by combined with maxillary transposition and pterional and zygomatic approach, and 2 cases were with craniofacial approach. No complications were found relating to surgery. 6 patients was recurrent during follow-up among 6 to 60 months.
  
  
  CONCLUSIONS
  The modified rhinotomy is a effective and safe surgical approach to treat skull base neoplasms located in nasal cavity, ethmoidal sinus and sphenoidal sinus. Tumor involved with pterygopalatine fossa, inferotemporal fossa and intracranial extension, other surgical approach should be used at the same time.
authors.affiliation: Department of Otorhinolaryngology Head and Neck Surgery, Beijing Tongren Hospital Affiliated to Capital Medical University, Ministry of Education, Beijing, China. zhouweiguosky@sohu.com
authors.forename: Weiguo
authors.initials: W
authors.lastname: Zhou
authors.forename: Jugao
authors.initials: J
authors.lastname: Fang
authors.forename: Xin
authors.initials: X
authors.lastname: Ni
authors.forename: Zhigang
authors.initials: Z
authors.lastname: Huang
authors.forename: Qi
authors.initials: Q
authors.lastname: Wang
authors.forename: Xiaohong
authors.initials: X
authors.lastname: Chen
authors.forename: Xuejun Zhong Qi
authors.initials: XZ
authors.lastname: Chen
authors.forename: Hongbo
authors.initials: H
authors.lastname: Xu
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D019635:Neurosurgical Procedures / Q000379:methods*; D009666:Nose / Q000601:surgery; D012189:Retrospective Studies; D019291:Skull Base / Q000601:surgery; D019292:Skull Base Neoplasms / Q000601:surgery*; D055815:Young Adult