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Radical surgery for ethmoid cancer.

G P Bridger

    Archives of Otolaryngology (Chicago, Ill. : 1960)
    |October 1, 1980
    PubMed
    Summary

    Radical surgery and radiotherapy offer the best cure for ethmoid cancer. Craniofacial ethmoidectomy, with specific approaches for intracranial spread, achieved a high success rate in 15 patients.

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    Area of Science:

    • Oncology
    • Neurosurgery
    • Otolaryngology

    Background:

    • Ethmoid cancer presents significant treatment challenges.
    • Radical surgery combined with radiotherapy is the primary curative approach.
    • Intracranial involvement complicates surgical management.

    Purpose of the Study:

    • To evaluate the efficacy of craniofacial ethmoidectomy in treating ethmoid cancer.
    • To describe surgical techniques for ethmoid cancer with intracranial spread.
    • To assess recurrence rates following surgical intervention.

    Main Methods:

    • Fifteen patients with ethmoid cancer underwent craniofacial ethmoidectomy.
    • Two distinct surgical approaches were utilized based on intracranial extension.
    • Involvement of the anterior cranial floor and dura was addressed with neurosurgical collaboration.

    Main Results:

    • Five of 15 patients demonstrated intracranial spread.
    • Successful craniofacial ethmoidectomy was performed in all cases.
    • Nine patients remained recurrence-free after 2-7 years of follow-up.

    Conclusions:

    • Craniofacial ethmoidectomy is an effective treatment for ethmoid cancer.
    • Tailored surgical approaches accommodate intracranial spread.
    • The combined modality treatment offers a favorable prognosis.

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