[Use of median fronto-naso-orbital flap to decrease the incidence of complications in XXXX undergoing craniofacial resection].

@entity5 @entity1 @entity204
BACKGROUND: Resection of @entity5 invading the anterior cranial base is performed with craniofacial resection (CFR) with acceptable results in complication rates and oncologic outcomes. However, still there are series with major morbidity in up to 40% of @entity1 , and mortality of 5%. A retrospective study was performed to evaluate the results in terms of morbidity, mortality, function and aesthetics using a median fronto orbital flap (MFOF). METHODS: The MFOF was used in 28 consecutive @entity1 who presented to the Head and Neck Service from 1992 to 1999, in the Instituto Nacional de Cancerolog  a, Mexico City, and was combined with a superior rhinotomy for en bloc resection of the ethmoid complex in the last 12 cases. 89% of @entity1 had @entity5 . RESULTS: 1 @entity204 occurred in this series (3%) and the global morbidity was 35%. Aesthetics and function were good to excellent. Percentages of @entity5 -free survival for malignant lesions was 76% and 41% at 2 and 5 years follow up, respectively. CONCLUSION: CFR is a safe approach for treatment of @entity5 of the anterior skull base. MFOF mobilization decreases complication rates and gives superb exposure for en bloc resection of @entity5 invading the ethmoidomaxillary complex specially when combined with a superior rhinotomy. A positive impact on quality of life was obtained.
