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CRANIOFACIAL RESECTION OF ANTERIOR SKULL BASE TUMOURS: FACTORS CONTRIBUTING TO SUCCESS
Author(s) -
Rutter Michael J.,
Furneaux Christopher E.,
Morton Randall P.
Publication year - 1998
Publication title -
australian and new zealand journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.111
H-Index - 51
eISSN - 1445-2197
pISSN - 0004-8682
DOI - 10.1111/j.1445-2197.1998.tb04770.x
Subject(s) - medicine , skull , craniofacial , resection , base (topology) , orthodontics , surgery , psychiatry , mathematical analysis , mathematics
Background: A case series of 20 consecutive patients followed for a minimum of 54 months following craniofacial resection of anterior skull base tumours is presented, with the aim of identifying complications and factors influencing survival. Methods: A retrospective review of a case series of 20 consecutive patients was carried out. Results: Dural invasion was significantly correlated with poorer survival. There was also a tendency for tumour grade and positive resection margins to be associated with poorer outcome. Most local recurrences occurred within 6 months of surgery, with the exception of adenocarcinoma of the ethmoids, in which recurrence occurred up to 36 months postoperatively. A variety of complications were encountered, with a marked decrease in serious complications from midway through the series. Conclusions: The change in pattern of complications may be indicative of a learning curve, or the discontinuation of the use of lumbar drainage.