Adenocarcinoma of the ethmoidal and nasal mucosa: lateral rhinotomy as a more conservative approach

Author： González-García R. Naval-Gías L. Rodríguez-Campo F.J. Sastre-Pérez J. Gamallo C.

ISSN： 0001-6489

Source： Acta Oto-Laryngologica, Vol.126, Iss.8, 2006-08, pp. : 878-880

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Abstract

Malignant neoplasms of the nasal cavity and paranasal sinuses are infrequent. In relation to salivary gland carcinomas of the naso-ethmoidal region and, due to its poor prognosis, a radical en bloc resection followed by radiotherapy is mandatory to control the disease. Surgically, naso-ethmoidal tumors must be managed by means of a combined craniofacial approach or using a lateral or total rhinotomy, a transpalatal or a transantral approach. We suggest the use of lateral rhinotomy for tumors of moderate size located homo-laterally, without involvement of the orbits, the cribriform plate, sphenoidal sinus or the clivus. A wide approach with minimal aesthetic and functional consequences is obtained by means of this method.