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Advances in craniofacial tumor surgery.

I T Jackson

    World Journal of Surgery
    |July 1, 1989
    PubMed
    Summary

    This study presents craniofacial surgical techniques for skull base tumors, showing that experienced surgery is safe and effective. Advanced techniques reduced infection rates, making tumor excision a worthwhile treatment option.

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    Area of Science:

    • Neurosurgery
    • Head and Neck Surgery
    • Surgical Oncology

    Background:

    • Skull base tumors present complex surgical challenges.
    • Traditional approaches often led to high morbidity and mortality due to infection.
    • Advancements in craniofacial surgical techniques are crucial for improving outcomes.

    Purpose of the Study:

    • To present experience with craniofacial surgical techniques for skull base tumor excision.
    • To evaluate the safety and efficacy of these advanced surgical approaches.
    • To analyze survival trends for various skull base pathologies.

    Main Methods:

    • Surgical excision of 200 skull base tumors (45 nonmalignant, 155 malignant) by a single surgeon.
    • Subdivision of the cranial base into specific surgical areas.
    • Utilization of vascularized tissue grafts (galea, temporalis fascia/muscle, free flaps) for reconstruction.

    Main Results:

    • No major infections were observed in the series.
    • Successful application of tailored surgical approaches for different cranial base regions.
    • Demonstrated the safety and feasibility of extensive tumor resections.

    Conclusions:

    • Craniofacial surgical techniques enhance safety and reduce complications in skull base tumor surgery.
    • Experienced surgical intervention leads to acceptable long-term survival rates (40-50%) for a mixed tumor population.
    • Excisional procedures are a valuable and worthwhile treatment modality for skull base tumors.

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