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Team approach of sinuso-orbital tumors invading the skull base
Authors:R. M. Guignard  S. Krupp  M. Savary  R. Campiche
Affiliation:(1) Service de Chirurgie Plastique et Reconstructive, CHUV, CH-1011 Lausanne, Switzerland;(2) Service d'Oto-rhino-laryngologie, CHUV, CH-1011 Lausanne, Switzerland;(3) Service de Neurochirurgie, CHUV, CH-1011 Lausanne, Switzerland
Abstract:Summary Two clinical cases of sinuso-orbital tumors invading the skull base are described. The treatment consists of wide resection of the tumor by a combined orbital and intracranial approach in two sessions. Primary reconstruction of the skull base and of the orbital region is performed during the first operation with a free latissimus dorsi myocutaneous flap. The aims of this approach are to obtain integrity of the subdural space and to mask the surgical mutilation.
Keywords:Orbital neoplasms  Paranasal sinus neoplasms  Craniotomy  Free flap transfer  Microsurgery
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