Endoscopic-assisted craniofacial resection

A case series and post-operative outcome

Balwant Singh Gendeh, Salina Husain, B. Selladurai, Jegan Thanabalan

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Craniofacial resection is commonly performed in the surgical resection of sinonasal tumours involving anterior skull base. It entails a bicoronal scalp flap with lateral rhinotomy or an extended lateral rhinotomy to expose the anterior skull base. Transfacial approach is necessary in the resection of the nasal part of the tumour. The choice of surgical approach is based heavily on the surgeon's experience and training. The results of endoscopic-assisted craniofacial resection for sinonasal tumours performed in our center in eight patients from 1998 to 2005 were reviewed. There were seven males and one female with age ranging from 18 to 62 years (mean 42.4 years). There was each a case of mature teratoma, poorly differentiated squamous cell carcinoma, undifferentiated squamous cell carcinoma, olfactory neuroblastoma, fibrous dysplasia, inverted papilloma and two cases of sinonasal neuroendocrine carcinoma. The mean follow up duration for these eight patients post surgery was 21.4 months. Out of eight patients, five underwent surgery with no adverse complications. The complications encountered were a cerebrospinal leak and a postoperative transient V and VI cranial nerve palsy. One patient with sinonasal undifferentiated carcinoma died of lung metastasis at 11 months post-surgery. The endoscopic-assisted craniofacial resection is a highly useful surgical technique to avoid the unsightly facial scar of the lateral rhinotomy or the Weber-Ferguson incision, postoperative paranasal sinuses infection and avoidance of tracheostomy in selected cases. We found that this approach has lower morbidity rate in selected cases.

Original languageEnglish
Pages (from-to)234-237
Number of pages4
JournalMedical Journal of Malaysia
Volume62
Issue number3
Publication statusPublished - Aug 2007

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Skull Base
Squamous Cell Carcinoma
Olfactory Esthesioneuroblastoma
Inverted Papilloma
Abducens Nerve Diseases
Neuroendocrine Carcinoma
Neoplasms
Paranasal Sinuses
Tracheostomy
Teratoma
Scalp
Nose
Cicatrix
Neoplasm Metastasis
Morbidity
Lung
Infection
Sinonasal undifferentiated carcinoma
Surgeons

Keywords

  • Anterior craniotomy
  • Endoscopic assisted resection
  • Post-operative outcome
  • Sinonasal tumours

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Endoscopic-assisted craniofacial resection : A case series and post-operative outcome. / Gendeh, Balwant Singh; Husain, Salina; Selladurai, B.; Thanabalan, Jegan.

In: Medical Journal of Malaysia, Vol. 62, No. 3, 08.2007, p. 234-237.

Research output: Contribution to journalArticle

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