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. 2005 Feb;25(1):23-9.

Nasal cheek flap in ethmoidal and skull base tumour surgery: results and complications

E Crosetti  1 , D Di Lisi, A Sartoris, G Succo
Affiliations

Nasal cheek flap in ethmoidal and skull base tumour surgery: results and complications

E Crosetti et al. Acta Otorhinolaryngol Ital. 2005 Feb.

Abstract
in English, Italian

Surgery is the treatment of choice for the management of malignant nasal/ethmoidal tumours, followed, in most cases, by external radiotherapy. Two main procedures are adopted to resect these tumours depending upon stage and extension: ethmoidectomy and medial maxillectomy, via a transfacial approach, or craniofacial resection with a combined transcranial and transfacial approach. The nasal cheek flap technique allows complete nasal swing thus obtaining a wide access to both the nasal fossae and the ethmoidal labyrinth. Furthermore, this approach can also be used in the management of small intracranial tumours extended through the skull base to the nasal cavity, paranasal sinuses, upper and middle clivus. We have used the nasal cheek flap since 1992 with good aesthetic and functional results. Aim of the present study was to analyse personal experience, focusing on complications, aesthetic results and self-evaluation expressed by the patients.

La chirurgia è il trattamento di scelta delle neoplasie maligne naso-etmoidali, seguita per lo più dalla radioterapia. Principalmente vengono utilizzate due tecniche chirurgiche per l’asportazione di questi tumori: l’etmoidectomia e la maxillectomia mediale per via transfacciale, e la resezione cranio-facciale per via combinata transcranica e transfacciale. La tecnica del lembo nasogenieno permette una completa mobilizzazione del naso, che consente un ampio accesso alle cavità nasali ed al labirinto etmoidale. Inoltre, questo approccio può essere utilizzato per l’asportazione di piccoli tumori intracranici, estesi attraverso la base cranica alle cavità nasali, ai seni paranasali e al clivo. Dal 1992 noi utilizziamo il lembo naso-genieno con ottimi risultati funzionali ed estetici. Scopo del presente studio è l’analisi dell’esperienza personale, in particolare per quanto riguarda le complicazioni, i risultati estetici e l’autovalutazione eseguita dai pazienti.

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Figures

Fig. 1a
Fig. 1a
CT scan of naso-sinusal tumour: axial image.
Fig. 1b
Fig. 1b
CT scan of a naso-sinusal tumour: coronal image.
Fig. 1c
Fig. 1c
Nasal cheek flap: cutaneous incisions.
Fig. 2
Fig. 2
Nasal cheek flap: osteotomic lines and pre-plat-ing.
Fig. 3
Fig. 3
Nasal cheek flap: nasal swing.
Fig. 4
Fig. 4
Nasal cheek flap: aesthetic outcome one year later (anterior view).
Fig. 5
Fig. 5
Nasal cheek flap: aesthetic outcome one year later (lateral view).
Fig. 6
Fig. 6
Nasal cheek flap: aesthetic outcome one year later (superior view).
Fig. 7
Fig. 7
Nasal cheek flap: bad aesthetic outcome two years later.
See this image and copyright information in PMC

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