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April 1989

The Craniofacial Resection: 11-Year Experience at the University of Virginia, Charlottesville

Author Affiliations

Los Angeles

Arch Otolaryngol Head Neck Surg. 1989;115(4):423. doi:10.1001/archotol.1989.01860280017008

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At the annual meeting of the American Academy of Otolaryngology–Head and Neck Surgery in Washington, DC, Paul A. Levine and colleagues, University of Virginia, Charlottesville, reported their 11-year experience with craniofacial resection for nasal and sinus tumors. The report included 27 anterior base of skull resections performed in 25 patients. The majority (17) of the operations were for esthesioneuroblastoma, and nearly all patients had received previous treatments, including radiation.

The report discussed a variety of approaches possible for resection of these tumors, including different means of closure of the surgical defect. Reported complications were largely transient and were treated successfully. Resection was achieved without orbital exenteration, and with acceptable ophthalmologic sequelae of mild diplopia, enophthalmos, dystopia, and epiphora. The authors did not discuss in detail the long-term survival and length of follow-up for these patients. However, their report emphasized that tumors of the nose and sinuses that extend to the

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