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KMID : 1037420070020010034
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Journal of Korean Skull Base Society
2007 Volume.2 No. 1 p.34 ~ p.39
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Craniofacial Resection for Anterior Skull Base Tumors
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Lee Hong-Jae
Lee Tae-Gyu
Lee Kwan-Sung
Jeun Sin-Soo
Lee Sang-Won
Hong Yong-Kil
Park Chun-Kun
Kim Moon-Chan
Sun Dong-Il
Kim Min-Sik
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Abstract
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Surgical treatment of neoplasms involving the anterior skull base is a relatively recent developing procedure and is on the border of the domains of neurosurgery as well as head and neck surgery. This report presents the result of 13 patients with primary tumors of the anterior skull base treated by craniofacial resection during a 5-year period. Their ages ranged from 5 to 69 years, with a mean age of 48 years. The most common type of tumor was squamous cell carcinoma (4 patients), followed by malignant meningioma (2), squamous cell papilloma (2), olfactory neuroblastoma (1), neurofibroma (1), malignant fibrohistiocytosis (1), ossifying fibroma (1), and chondrosarcoma (1). Postoperative complications were noted in five cases after surgery. The complications were a cerebrospinal fluid leak in 3 patients, and infection in 2 patients; none resulted in any neurological deficit. Malignancies involving the skull base can be successfully resected with surgical margin using a craniofacial approach, with minimum operative mortality and morbidity.
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KEYWORD
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Anterior skull base tumor, Craniofacial resection
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