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[Surgical problems arising from ethmoid adenocarcinomas]
J F Chassagne1, A Czorny, J C Marchal
1Service de chirurgie maxillo-faciale, CHRU de Nancy, Hôpital central.
Revue De Stomatologie Et De Chirurgie Maxillo-Faciale
|January 1, 1991
Abstract:
Adenocarcinomas are the most frequent ethmoid tumors. The only curative treatment at present is surgery. Potential extensions of these tumors require a wide exeresis. This is best ensured with an approach that is cranial and of the Cairns type at first, then in some cases facial and patterned on the Moure-Sebileau course of approach. This procedure demands the immediate reconstruction of the 3 levels involved: the dura mater, the bone and the mucosa of the nasal fossae. We reconstruct the dura mater with a pericranial flap, the bone with bone grafts, and the mucosa with a flap from the galea.