Exposure of midline cranial base without a facial incision through a combined craniofacial-transfacial procedure.

摘要: OBJECTIVE A single-stage combined craniofacial-transfacial approach that exposes the midline cranial base without visible facial incisions is described. METHODS Between 1992 and 1998, eight patients underwent surgery for five different anterior pathological findings: four angiofibromas, one mesenchymal chondrosarcoma, esthesioneuroblastoma, odontogenic myxoma, encephalocele. In all cases, surgical exposure consisted of a bicoronal scalp incision with bifrontal craniotomy fronto-orbitonasal osteotomy, then sublabial transmaxillary exposure. RESULTS Gross total resection was achieved in cases. The encephalocele resected complete reconstruction bony defect. Seven developed complications, primarily wound infections, cerebrospinal fluid leaks, anemia. Postoperative Karnofsky Performance Scale scores ranged between 80 100 (mean, 92.5). Long-term follow-up information 56 mo; median, 59.5 range, 5-108 mo) available patients. CONCLUSION Large lesions can be excellent cosmetic outcomes transfacial-craniofacial entire requires no incisions.