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[Paranasal sinus tumors with orbital involvement].

W Mann1, E Rareshide, A Schildwächter

  • 1Universitäts-Hals-Nasen-Ohrenklinik Mainz.

Laryngo- Rhino- Otologie
|December 1, 1989
PubMed
Summary

This study investigated conservative microsurgical resection for paranasal sinus tumors invading the orbit. The combined therapy shows promise for improving survival and preserving orbital function.

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Area of Science:

  • Otolaryngology
  • Neurosurgery
  • Oncology

Context:

  • Paranasal sinus tumors often invade orbital contents, historically leading to significant visual impairment or enucleation.
  • Previous treatments for these tumors were often aggressive, resulting in severe functional deficits.

Purpose:

  • To evaluate the efficacy of a conservative therapeutic approach for paranasal sinus tumors involving the orbit.
  • To assess overall survival rates, local recurrence frequency, and orbital function changes following microsurgical resection and adjuvant therapy.

Summary:

  • Forty patients with paranasal sinus tumors extending into the orbit were treated with microsurgical resection using transfrontal extradural and midface-degloving techniques, followed by radiotherapy and/or chemotherapy.
  • The study analyzed the impact of this conservative approach on patient survival, disease recurrence, and preservation of orbital function.

Impact:

  • This research offers insights into a less invasive treatment strategy for complex tumors, potentially improving outcomes and quality of life for affected patients.
  • The findings may guide future treatment protocols for paranasal sinus tumors with orbital involvement, emphasizing functional preservation.

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