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PubMed · 11344078

Frontal sinus malignancies.

J D Osguthorpe·M Richardson
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Abstract

Frontal sinus malignancies comprise 2% to 3% of those occurring in the paranasal region. Patients commonly present with forehead pain and swelling, orbital disturbances, epistaxis, and nasal purulence. A combination of CT and MR imaging delineate the tumor and its relationship with the adjacent dura and periorbita. Low-grade malignancies are addressed with en bloc extirpation, with lower frontal sinus and adjacent ethmoid lesions approached through a superior rhinotomy, and more extensive lesions through a combination of a bicoronal flap and rhinotomy. Postoperative irradiation is appropriate for medium- to high-grade lesions. Small to medium defects are closed with local rotation flaps and larger defects with free flaps. Bony reconstruction can range from a split calvarial bone graft to mini plates and wire mesh.

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Combined Modality TherapyFrontal SinusHumansMagnetic Resonance ImagingNeoplasm StagingOtorhinolaryngologic Surgical ProceduresParanasal Sinus NeoplasmsTomography, X-Ray ComputedJournal ArticleReview

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J D Osguthorpe, M Richardson. 2001. Frontal sinus malignancies.. https://doi.org/10.1016/s0030-6665(05)70311-x

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