Korean J Otolaryngol-Head Neck Surg.  1998 Dec;41(12):1579-1584.

Craniofacial Resection with Subfrontal Approach

• Kim JH
• Song BC
• Rho YS
• Park SH

Abstract

BACKGROUND AND OBJECTIVES: The classic craniofacial resection for anterior skull base tumor uses bifrontal craniotomies together with lateral rhinotomies. This approach requires frontal lobe retraction and may be associated with the development of brain edema and encephalomalacia. The subfrontal approach by use of supraorbital-frontal bone osteotomy permits removal of anterior skull base lesions with minimal retraction of frontal lobe and provides excellent exposure by reducing the depth and obliquity of the approaches and lowering the inferior visual angle.
MATERIALS AND METHODS
We reviewed 3 cases of anterior skull base tumor involving the frontal, sphenoid sinus and partially clivus, or frontal lobe. They were 1 female patient and 2 male patients aging from 56 to 64.
RESULTS
We obtained sound results, both functionally and cosmetically, except for one who died of brain metastasis.
CONCLUSION
The craniofacial resection with subfrontal approach using supraorbital-frontal bone osteotomy provides excellent exposure, particularly in high grade malignancy of the anterior skull base, and can reduce postoperative morbidities.

Keyword

Craniofacial resection; Subfrontal approach; Supraorbital osteotomy; Skull base tumor

MeSH Terms

Aging
Brain
Brain Edema
Cranial Fossa, Posterior
Craniotomy
Encephalomalacia
Female
Frontal Lobe
Humans
Male
Neoplasm Metastasis
Osteotomy
Skull Base
Sphenoid Sinus