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Anales de Otorrinolaringología Mexicana

2021, Number 1

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Otorrinolaringología 2021; 66 (1)

Craniofacial resections for sinonasal tract malignancies

Rocha-Remón P, Bigorra-Hevia E, González-Fernández N, Fonseca-Pichs A

Language: Spanish
References: 15
Page: 52-61
PDF size: 349.26 Kb.


ABSTRACT

Objective: To describe the clinical, epidemiologic behavior and therapeutic handle of the cases subjected to craniofacial resections for the treatment of the sinonasal tract malignancies.
Materials and Methods: An observational, descriptive and transversal study was performed from January 2012 to July 2015 in the National Institute of Oncology and Radiobiology of Cuba. The variables included: sex, age, primary site, signs and symptoms, histologic type, previous treatment, status of the surgical margins, intracranial invasion, status after two years, surgical technique, reconstruction method and complications; descriptive statistic was used to accomplish the results.
Results: A total of 39 clinical charts were reviewed. In this study, the male sex prevailed (69.2%), being placed more frequently in the ethmoid sinus (64.1%) with nasal obstruction as prevailing symptom. Sarcomas represented 30.8% of the histologies and 71.8% of the cases were alive and controlled at 2 years. The 84.6% of the approaches were through bilateral frontobasal craniotomy using in all cases the pericraneal flap for reconstruction and occurring cerebral edema in the 84.6% of the cases.
Conclusions: In this study was determined a male sex prevailing, sarcomas were the most representative histology. There were few severe complications and postopera- tive mortality with a high survival determined by prognostic factors such as surgical margins and intracranial invasion.


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