Management of Orbital Involvement in Sinonasal and Ventral Skull Base Malignancies

被引：24

作者：

Neel, Gregory S. ^{[1
]}

Nagel, Thomas H. ^{[1
]}

Hoxworth, Joseph M. ^{[2
]}

Lal, Devyani ^{[3
]}

机构：

[1] Mayo Clin, Dept Otolaryngol Head & Neck Surg, 5777 East Mayo Blvd, Phoenix, AZ 85054 USA

[2] Mayo Clin, Sect Neuroradiol, Dept Radiol, 5777 East Mayo Bouelvard, Phoenix, AZ 85054 USA

[3] Mayo Clin, Coll Med, Dept Otolaryngol Head & Neck Surg, 5777 East Mayo Blvd, Phoenix, AZ 85054 USA

来源：

OTOLARYNGOLOGIC CLINICS OF NORTH AMERICA | 2017年 / 50卷 / 02期

关键词：

Sinonasal malignancy; Orbit; Orbital invasion; Orbital exenteration; Orbital clearance; Orbital sacrifice; Orbit preservation; Endoscopic resection; SQUAMOUS-CELL CARCINOMA; PARANASAL SINUSES; CRANIOFACIAL RESECTION; MAXILLECTOMY DEFECTS; SURGICAL-MANAGEMENT; MAXILLARY SINUS; NASAL CAVITY; PROGNOSTIC-FACTORS; TUMORS; PRESERVATION;

D O I：

10.1016/j.otc.2016.12.010

中图分类号：

R76 [耳鼻咽喉科学];

学科分类号：

100213 ;

摘要：

The orbit may be frequently involved by sinonasal or ventral skull base malignancy. This involvement bodes a poorer prognosis for survival. Multimodality therapy with surgery and radiation therapy is usually attempted to optimize local control and overall survival. Oncologic surgical resection with negative margins is critical to local control and survival. In the past, any involvement of the orbit was deemed to necessitate orbital sacrifice. However, contemporary studies show that in carefully selected cases, orbital preservation does not adversely impact survival. In addition, novel reconstructive techniques can help minimize complications and optimize functional and aesthetic outcomes.

引用

页码：347 / +

页数：19

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