Craniofacial resection for sinunasal XXXX .

@entity1 @entity5 @entity693 @entity5173 @entity1442 @entity3 @entity204
INTRODUCTION: @entity5 are very rare in Mexico. They ussually present as @entity1442 because it is extremely difficult to make an early diagnosis; in addition, its treatment is complicated by a variety of lesions. Surgical resection remains the mainstay of treatment, but its relative therapeutic value compared with alternative treatments is controversial. OBJECTIVE: We undertook a retrospective analysis in order to evaluate results of craniofacial resections for sinonasal @entity5 . MATERIALS AND METHODS: A total of 20 @entity1 , 11 @entity1 and 9 @entity1 were considered, median age was 49 years (18-74). Eleven had received previous treatment elsewhere. In 13 @entity1 @entity5 was limited to maxillo-ethmoid complex, but in 6 cases @entity5 involved anteroinferior aspect of sphenoid sinus, in 7 extended to the orbit, in 3 to dura and two to the brain. One had cervical @entity3 . Median tumoral size was 5.8 cm (1-10). RESULTS: Overall complication rate was 50%. Major surgical complications occurred in 4 @entity1 (20%): one @entity1 developed isolated @entity5173 ( @entity5173 ), 1 developed deterioration of mental status, and two developed @entity693 associated with @entity5173 . Late complications occurred in 30% of the @entity1 . There was not any operative @entity204 . Eleven @entity1 received postoperative radiotherapy. Fifteen @entity1 recurred. There were 11 local relapses, although one associated with a regional relapse, and another with regional and distant relapse. There were four isolated regional fails and six isolated distant failures. Three year overall survival was 65%, and 3-year disease free survival was 50%. @entity1 without previous treatment median survival was 28.3 months, meanwhile with previous treatment was 18.2 months. CONCLUSIONS: Craniofacial resection is a safe and valuable tool in the treatment of advanced sinonasal @entity5 involving cranial base.
