Total rhinotomy for midline lesions of the ethmoids and the nose

Total rhinotomy is a technique previously used to gain access to the sella in hypophyseal surgery. In our experience, total rhinotomy is an excellent approach not only for benign midline naso-ethmoidal lesions but also for bilateral malignant tumours of the ethmoid complex and the nose, provided that there is no dural or orbital involvement. Total rhinotomy is contraindicated for malignant lesions extending into the nasopharynx.