A combined intracranial facial approach to the paranasal sinuses

摘要: Abstract A combined intracranial facial approach to cancer of the paranasal sinuses has been performed in nineteen patients. One postoperative death occurred due meningitis. Despite extensive preoperative disease, eleven patients have survived two seventy-five months free disease; eight these having followed up during thirty-one months. This procedure can be with a minimum complications and allows surgeon opportunity do true en bloc resection an anatomically difficult area. The advantages are that it allows: (1) evaluation (2) protection brain, (3) avoidance spinal fluid fistulas, (4) more adequate hemostasis, (5) facilitation resection, (6) resection.