Combined Anterior Craniofacial Resection for Locally Advanced Ethmoid Carcinomas
Rattachement africain : jp. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
OBJECTIVE: Carcinoma of the ethmoid sinus is very rare, and treatment for locally advanced tumors remains as a formidable challenge to the clinician. We reviewed cases of ethmoid carcinoma in which anterior craniofacial resection had been undertaken and evaluated the safety and validity of the operative methods. METHODS: We retrospectively reviewed 13 patients with ethmoid carcinoma who underwent combined anterior craniofacial resection. We evaluated the surgical procedures, complications, outcomes, local recurrence, and the survival rate. RESULTS: Coronal incision and anterior craniotomy were performed in all cases. Four out of 13 cases underwent ipsilateral orbital exenteration due to involvement of the orbital contents. There were no potentially fatal complications, except for two cases of epidural abscesses which were successfully cured. Positive surgical margins were observed in 6 patients, and they received postoperative radiotherapy and/or chemotherapy. Local recurrences occurred in 4 cases, and 3 died at 9, 11, and 49 months after the surgery. Distant metastasis was not observed during the observation period. The overall 5-year survival rate was 75.2% (Kaplan-Meier method). CONCLUSION: These tumors were safely removed without severe complications and postoperative mortality. Combined anterior craniofacial resection is an effective and safe option for treatment of locally advanced ethmoid carcinomas after various preoperative treatments.
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Combined Anterior Craniofacial Resection for Locally Advanced Ethmoid Carcinomas
- Date Crossref
- 01/01/2015
- Éditeur
- Oto-Rhino-Laryngological Society of Japan, Inc.
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Tokyo Medical and Dental University Department of Otolaryngology pays non établi dans la noticeUniversité ou école supérieure
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Musashino Red Cross Hospital pays non établi dans la noticeÉtablissement de santé
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Tokyo Metropolitan Geriatric Hospital pays non établi dans la noticeÉtablissement de santé
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Ome Municipal General Hospital pays non établi dans la noticeÉtablissement de santé
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Kameda Medical Center pays non établi dans la noticeÉtablissement de santé
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Department of Otolaryngology pays non établi dans la noticeOrganisation à but non lucratif
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Kameda General Hospital Department of Head and Neck Surgery pays non établi dans la noticeÉtablissement de santé
Department of Otolaryngology — Tokyo Medical and Dental University, Musashino Red Cross Hospital et Tokyo Metropolitan Geriatric Hospital, avec 4 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.