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February 1989

Preservation of the Eye in Paranasal Sinus Cancer Surgery

Arch Otolaryngol Head Neck Surg. 1989;115(2):249. doi:10.1001/archotol.1989.01860260123033

To the Editor.—It is always interesting to read articles where the author's experience differs radically from one's own. "Preservation of the Eye in Paranasal Sinus Cancer Surgery,"1 at first reading, appears to be such an article, for, in my personal series of 234 maxillary and ethmoidal sinus malignancies, orbital clearance was needed in 26% of patients. However, the article by Perry et al should surely be entitled, "Preservation of the Eye in Surgery for Esthesioneuroblastoma," for this tumor, not common in the maxillary sinus, made up 21% of their total experience. In my series, 15 olfactory tumors represented only 6% of the total experience. Indeed, squamous carcinoma of the maxillary sinus is by far the most common site and malignancy affecting the paranasal sinuses. I have only had to remove orbital contents once when treating olfactory tumors by craniofacial resection2 and local resection of small portions of

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