Approximation to facial translocation: surgical approach to nasosinusal tumours with skull base involvement

Introduction: The facial translocation approach provides a good surgical exposure and tridimensional resection of tumours located in the nasopharynx and skull base. Our aim is to present our case series to show the surgical field obtained by facial translocation combined with other resections.

Materials and methods: A retrospective revision is presented of the facial translocation cases (standard or either associated to maxillectomy and/or orbital exenteration) performed by our Department. The cases included required this approach for nasosinusal tumour ablation, benign or malignant, with skull base involvement.

Results: A total of 11 cases are presented, including 8 malignant tumours (4 sarcomas, 1 adenoid cystic carcinoma, 2 squamous cell carcinomas, and 1 basosquamous carcinoma) and 3 benign (1 fibrous dysplasia, 1 ameloblastoma, 1 cylindroma). 8 cases included a maxillectomy and in 7 cases and orbital exanteration was performed.

Conclusions: Facial translocation is indicated for resection of big benign and malignant low grade tumours affecting the nasosinusal territory with skull base involvement. Its main disadvantage is the lack of cervical neurovascular control, and it can produce aesthetic sequelae.

Key words: facial translocation; nasosinusal tumours; skull base

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Jan 21, 2018 | Posted by in Oral and Maxillofacial Surgery | Comments Off on Approximation to facial translocation: surgical approach to nasosinusal tumours with skull base involvement
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