Management of Frontal Sinus Tumors

Selleck, Anne Morgan; Desai, Dipan D.; Thorp, Brian D.; Ebert, Charles S.; Zanation, Adam M.

doi:10.1016/j.otc.2016.03.026

Cited by 18 publications

(19 citation statements)

References 58 publications

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“…The location and extent of the FOL as well as the experience of the surgical team are critical factors in choosing an open, endoscopic, or combined approach if surgery is required. In most cases, osteomas and OFs can be completely removed . For FD, complete removal is often technically challenging or impossible and most often, a partial resection or debulking surgery to improve symptoms or cosmesis is performed …”

Section: Benign Lesionsmentioning

confidence: 99%

“…In cases where the lesion is causing intracranial/orbital complications, facial deformities, or when conservative treatments fail, the lesion should be removed. Historically, open procedures were preferred, but with improvements in technology and techniques, endoscopic endonasal resections are being utilized more commonly . EEAs are useful for midline lesions, whereas open approaches are more suitable for lesions located beyond the medial orbital wall.…”

Section: Benign Lesionsmentioning

confidence: 99%

“…For grade II or lower, an endoscopic approach is recommended. Open surgical or combination approach is recommended for grade III/IV due to risk of CSF leak and difficulty in accessing the tumor for total resection . Open procedures used to treat FOL in the frontal sinus include trephination, frontoethmoidectomy (Lynch procedure), and osteoplastic flaps .…”

Section: Benign Lesionsmentioning

confidence: 99%

“…The surrounding structures of the paranasal sinuses such as the orbit, anterior ethmoidal artery, and the skull base require close attention. Injury to the eye, the optic nerve, or the extraocular muscles may lead to vision changes . Damage of the arteries can lead to intranasal or intraorbital hemorrhage .…”

Section: Benign Lesionsmentioning

confidence: 99%

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ICAR: endoscopic skull‐base surgery

Wang

Zanation

Gardner

et al. 2019

Int Forum Allergy Rhinol

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143

279

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Background Endoscopic skull‐base surgery (ESBS) is employed in the management of diverse skull‐base pathologies. Paralleling the increased utilization of ESBS, the literature in this field has expanded rapidly. However, the rarity of these diseases, the inherent challenges of surgical studies, and the continued learning curve in ESBS have resulted in significant variability in the quality of the literature. To consolidate and critically appraise the available literature, experts in skull‐base surgery have produced the International Consensus Statement on Endoscopic Skull‐Base Surgery (ICAR:ESBS). Methods Using previously described methodology, topics spanning the breadth of ESBS were identified and assigned a literature review, evidence‐based review or evidence‐based review with recommendations format. Subsequently, each topic was written and then reviewed by skull‐base surgeons in both neurosurgery and otolaryngology. Following this iterative review process, the ICAR:ESBS document was synthesized and reviewed by all authors for consensus. Results The ICAR:ESBS document addresses the role of ESBS in primary cerebrospinal fluid (CSF) rhinorrhea, intradural tumors, benign skull‐base and orbital pathology, sinonasal malignancies, and clival lesions. Additionally, specific challenges in ESBS including endoscopic reconstruction and complication management were evaluated. Conclusion A critical review of the literature in ESBS demonstrates at least the equivalency of ESBS with alternative approaches in pathologies such as CSF rhinorrhea and pituitary adenoma as well as improved reconstructive techniques in reducing CSF leaks. Evidence‐based recommendations are limited in other pathologies and these significant knowledge gaps call upon the skull‐base community to embrace these opportunities and collaboratively address these shortcomings.

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Section: Benign Lesionsmentioning

confidence: 99%

Section: Benign Lesionsmentioning

confidence: 99%

Section: Benign Lesionsmentioning

confidence: 99%

Section: Benign Lesionsmentioning

confidence: 99%

See 2 more Smart Citations

ICAR: endoscopic skull‐base surgery

Wang

Zanation

Gardner

et al. 2019

Int Forum Allergy Rhinol

Self Cite

143

279

View full text Add to dashboard Cite

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“…Despite the widespread success of endoscopic approaches to treat a myriad of frontal sinus pathology, clinical indications such as frontal sinus fractures, neoplasms, encephaloceles, or select cases of recalcitrant frontal sinusitis remain where the frontal sinus must be accessed through a coronal incision and an osteoplastic flap (OPF) . One of the more challenging portions of the OPF is determining where to make osteotomies through the anterior tables of the frontal sinuses so that the surgeon does not inadvertently penetrate into the intracranial space and cause a cerebrospinal fluid leak or intracranial hemorrhage.…”

Section: Introductionmentioning

confidence: 99%

Computed tomography image navigation patient tracker on the cheek during osteoplastic flaps

Garcia‐Rodriguez

Craig

2017

The Laryngoscope

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Anatomical variations of the frontal sinus and its relationship with the orbital cavity

et al. 2017

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The anatomy of the frontal sinus is highly variable and its variations affect the occurrence/course of pathological processes. We investigated its size and relationship to the orbit, searching for patterns that would allow it to be classified anatomically. Cone beam computed tomography was applied to 91 skulls (age range 21-86 years) to determine sinus height, width, length, and length of contact with the orbit in the coronal and sagittal planes. In addition, orbital roof pneumatization in the coronal plane was categorized as: none; only medial part pneumatized; the medial and a portion of the central part pneumatized; roof predominantly pneumatized. Sinus dimensions varied widely (mm): height 6.2-50.0; width 3.7-54.0; length 2.4-45.0; frontal orbital contact 4.0-41.6; sagittal orbital contact 0.0-41.2. Pneumatization of the orbital roof (coronal plane) mostly affected the medial and a portion of the central part (50%), or the roof was predominantly pneumatized (32%). Three "types" of sinus (cluster analysis) were distinguished by the extent of pneumatization of the orbital roof in the coronal plane: "small", pneumatization absent or only of the medial part; "medium-sized", pneumatization of the medial and a portion of the central part; "large", roof predominantly pneumatized. All dimensions were significantly different among the types (P < 0.001). Sinus type was fairly predictive of the extent of contact with the orbit in the sagittal plane (not routinely assessed clinically). The data confirm the variability of frontal sinus anatomy and suggest a simple and straightforward classification with potential clinical relevance. Clin. Anat. 31:576-582, 2018. © 2017 Wiley Periodicals, Inc.

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Management of Frontal Sinus Tumors

Cited by 18 publications

References 58 publications

ICAR: endoscopic skull‐base surgery

ICAR: endoscopic skull‐base surgery

Computed tomography image navigation patient tracker on the cheek during osteoplastic flaps

Anatomical variations of the frontal sinus and its relationship with the orbital cavity

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