Craniofacial Resection of Frontal Sinus Tumor
Indications
- Malignant tumor of frontal sinus
- Locally aggressive benign sinonasal neoplasm
Highlights
- Endoscopic transnasal approach for removal of inferior portion of tumor
- Bifrontal craniotomy for removal of superior portion of tumor
- Closure of skull base defect with pericranial and temporalis fascia flaps
Keep in Mind/Things to Remember:
- Orbital decompression with removal of lamina papyracea may be performed to control lateral tumor margin.
- A water tight closure is necessary to reduce the incidence of postop CSF leak.
- Use of vascularized flaps is beneficial to patients who require postop radiation therapy.