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Management of the cavernous sinus in en bloc resections of malignant skull base tumors

1999; Wiley; Volume: 21; Issue: 8 Linguagem: Inglês

10.1002/(sici)1097-0347(199912)21

1097-0347

Kiyoshi Saito, Keizo Fukuta, Masakatsu Takahashi, Eiji Tachibana, Jun Yoshida,

Meningioma and schwannoma management

Head & NeckVolume 21, Issue 8 p. 734-742 Management of the cavernous sinus in en bloc resections of malignant skull base tumors Kiyoshi Saito MD, Corresponding Author Kiyoshi Saito MD Department of Neurosurgery, Nagoya University School of Medicine, 65 Tsurumai, Showa-ku, Nagoya 466-8560, JapanDepartment of Neurosurgery, Nagoya University School of Medicine, 65 Tsurumai, Showa-ku, Nagoya 466-8560, JapanSearch for more papers by this authorKeizo Fukuta MD, Keizo Fukuta MD Department of Plastic and Reconstructive Surgery, Komaki City Hospital, Komaki, JapanSearch for more papers by this authorMasakatsu Takahashi MD, Masakatsu Takahashi MD Department of Otorhinolaryngology, Nagoya University School of Medicine, Nagoya, JapanSearch for more papers by this authorEiji Tachibana MD, Eiji Tachibana MD Department of Neurosurgery, Nagoya University School of Medicine, 65 Tsurumai, Showa-ku, Nagoya 466-8560, JapanSearch for more papers by this authorJun Yoshida MD, Jun Yoshida MD Department of Neurosurgery, Nagoya University School of Medicine, 65 Tsurumai, Showa-ku, Nagoya 466-8560, JapanSearch for more papers by this author Kiyoshi Saito MD, Corresponding Author Kiyoshi Saito MD Department of Neurosurgery, Nagoya University School of Medicine, 65 Tsurumai, Showa-ku, Nagoya 466-8560, JapanDepartment of Neurosurgery, Nagoya University School of Medicine, 65 Tsurumai, Showa-ku, Nagoya 466-8560, JapanSearch for more papers by this authorKeizo Fukuta MD, Keizo Fukuta MD Department of Plastic and Reconstructive Surgery, Komaki City Hospital, Komaki, JapanSearch for more papers by this authorMasakatsu Takahashi MD, Masakatsu Takahashi MD Department of Otorhinolaryngology, Nagoya University School of Medicine, Nagoya, JapanSearch for more papers by this authorEiji Tachibana MD, Eiji Tachibana MD Department of Neurosurgery, Nagoya University School of Medicine, 65 Tsurumai, Showa-ku, Nagoya 466-8560, JapanSearch for more papers by this authorJun Yoshida MD, Jun Yoshida MD Department of Neurosurgery, Nagoya University School of Medicine, 65 Tsurumai, Showa-ku, Nagoya 466-8560, JapanSearch for more papers by this author First published: 15 November 1999 https://doi.org/10.1002/(SICI)1097-0347(199912)21:8 3.0.CO;2-XCitations: 2AboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinkedInRedditWechat Abstract Background Cavernous sinus involvement represents the most difficult problem in en bloc resection of malignant skull base tumors. We developed three types of surgical procedures for manipulating the cavernous sinus to achieve en bloc resection of these tumors. Methods In a type 1 procedure, the cavernous sinus was dissected epidurally and retracted posteriorly. In a type 2 procedure, the anterolateral portion of the cavernous sinus was excised and the carotid artery preserved. In a type 3 procedure, the entire cavernous sinus including the carotid artery was resected. Results Of 25 malignant skull base tumors, type 1 procedures were used in 7, type 2 in 5, and type 3 in 3. For these 15 patients, 7 are in good condition without evidence of tumor recurrence, 2 are alive with tumor, 4 died of tumor recurrence, and 2 died of complications. Two-year survival rates were 54% for patients with a type 1 procedure, 100% for type 2, and 33% for type 3. Conclusions Using our techniques, we could totally excise tumors impinging on the cavernous sinus. However, the advanced tumors requiring resection of the entire cavernous sinus with the carotid artery are associated with major morbidity and mortality. © 1999 John Wiley & Sons, Inc. Head Neck 21: 734–742, 1999. Citing Literature Volume21, Issue8December 1999Pages 734-742 RelatedInformation