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March 1988

Interdisciplinary Management of Skull Base Neoplasms

Author Affiliations

Brooklyn, NY

Arch Otolaryngol Head Neck Surg. 1988;114(3):237. doi:10.1001/archotol.1988.01860150019002

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Patrick J. Gullane, MD, and F. Gentilli, MD, University of Toronto, presented their experience with the interdisciplinary management of skull base tumors at the American Academy of Otolaryngology–Head Neck Surgery meeting held this September in Chicago. Their series consisted of 25 patients who ranged in age from 18 to 74 years. Seven of these patients had anteriorly located tumors, six were anterolateral, and 12 were posterolateral. Patients with anterior tumors were operated on via a standard craniofacial approach, with split cranium employed most frequently for reconstruction of the bony defect. Anterolateral tumors were approached by laterally extending a bicoronal flap. The zygoma was removed and the facial nerve reflected if indicated. The last group of patients often required radical neck dissection in addition to their primary excision. The most frequent disease in this group was carcinoma of the temporal bone, which necessitated total temporal bone resection. These patients usually underwent

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