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Rehabilitation of Patients with Extended Facial and Craniofacial Resection

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Rehabilitation of Patients with Extended Facial and Craniofacial Resection

Auteurs : Robert H. Mathog [États-Unis] ; Terry Shibuya [États-Unis] ; Jeffrey Leider [États-Unis] ; Mark Marunick [États-Unis]

Source :

The Laryngoscope [ 0023-852X ] ; 1997-01.

RBID : ISTEX:3939086556D012CBDC1E69AFF27C5ED159A65523

English descriptors

KwdEn :
- Anterior skull base, Arch otolaryngol head neck surg, Basal, Cancer treatment, Canthal, Carcinoma, Craniofacial, Craniofacial resection, Cribriform plate, Dark glasses, Diplopia, Dysplasia, Epiphora, Esthesioneuroblastoma, Exenteration, Facial, Facial resection, Flap, Forehead flap, Frontal, Frontal craniotomy, Frontal process, Graft, Head neck, January, Lacrimal, Laryngoscope, Life questionnaire, Ligament, Malignant disease, Mathog, Maxilla, Maxillary, Maxillary cavity, Maxillectomy, Medial, Medial canthal ligament, Medial wall, Nasal cavity, Obturator, Orbital, Orbital exenteration, Orbital floor, Orbital preservation, Otolaryngol, Palatal, Palatal obturator, Palatal prostheses, Paranasal, Paranasal sinuses, Periosteum, Prosthesis, Prosthetic, Resection, Right maxillectomy, Sinus, Skin graft, Soft tissues, Stsg, Surg, Surgical, Temporalis, Temporalis fascia, Temporalis flap, Washington quality.
Teeft :
- Anterior skull base, Arch otolaryngol head neck surg, Basal, Cancer treatment, Canthal, Carcinoma, Craniofacial, Craniofacial resection, Cribriform plate, Dark glasses, Diplopia, Dysplasia, Epiphora, Esthesioneuroblastoma, Exenteration, Facial, Facial resection, Flap, Forehead flap, Frontal, Frontal craniotomy, Frontal process, Graft, Head neck, January, Lacrimal, Laryngoscope, Life questionnaire, Ligament, Malignant disease, Mathog, Maxilla, Maxillary, Maxillary cavity, Maxillectomy, Medial, Medial canthal ligament, Medial wall, Nasal cavity, Obturator, Orbital, Orbital exenteration, Orbital floor, Orbital preservation, Otolaryngol, Palatal, Palatal obturator, Palatal prostheses, Paranasal, Paranasal sinuses, Periosteum, Prosthesis, Prosthetic, Resection, Right maxillectomy, Sinus, Skin graft, Soft tissues, Stsg, Surg, Surgical, Temporalis, Temporalis fascia, Temporalis flap, Washington quality.

Abstract

Surgery of benign and malignant disease of the nose and sinuses can result in disfigurement and disability. Many patients have speech, mastication, and swallowing problems, anosmia, and pain. If the orbit is retained, visual loss, dystopia, diplopia, and epiphora can occur. This study reviews the senior author's experience with 34 patients over the last 18 years. Group and case analyses demonstrate that in patients with cancer, the eye can be preserved if one anatomical boundary is retained beyond a negative frozen section margin. Dystopia can be prevented by reconstruction of the floor with skin and fascial grafts or flaps. Epiphora can be reduced by repair of the medial canthus and dacryocystorhinostomy. Evidence is presented for prosthetic management of speech and swallowing and restoration of cheek contour. Case examples are used to illustrate the surgical techniques.

Url:

https://api.istex.fr/document/3939086556D012CBDC1E69AFF27C5ED159A65523/fulltext/pdf

DOI: 10.1097/00005537-199701000-00009

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Le document en format XML

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<author><name sortKey="Mathog, Robert H" sort="Mathog, Robert H" uniqKey="Mathog R" first="Robert H." last="Mathog">Robert H. Mathog</name>
<affiliation wicri:level="1"><mods:affiliation>Department of Otolaryngology‐Head and Neck Surgery, Wayne State University and Harper Hospital, Detroit, MI, U.S.A.</mods:affiliation>
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<term>Arch otolaryngol head neck surg</term>
<term>Basal</term>
<term>Cancer treatment</term>
<term>Canthal</term>
<term>Carcinoma</term>
<term>Craniofacial</term>
<term>Craniofacial resection</term>
<term>Cribriform plate</term>
<term>Dark glasses</term>
<term>Diplopia</term>
<term>Dysplasia</term>
<term>Epiphora</term>
<term>Esthesioneuroblastoma</term>
<term>Exenteration</term>
<term>Facial</term>
<term>Facial resection</term>
<term>Flap</term>
<term>Forehead flap</term>
<term>Frontal</term>
<term>Frontal craniotomy</term>
<term>Frontal process</term>
<term>Graft</term>
<term>Head neck</term>
<term>January</term>
<term>Lacrimal</term>
<term>Laryngoscope</term>
<term>Life questionnaire</term>
<term>Ligament</term>
<term>Malignant disease</term>
<term>Mathog</term>
<term>Maxilla</term>
<term>Maxillary</term>
<term>Maxillary cavity</term>
<term>Maxillectomy</term>
<term>Medial</term>
<term>Medial canthal ligament</term>
<term>Medial wall</term>
<term>Nasal cavity</term>
<term>Obturator</term>
<term>Orbital</term>
<term>Orbital exenteration</term>
<term>Orbital floor</term>
<term>Orbital preservation</term>
<term>Otolaryngol</term>
<term>Palatal</term>
<term>Palatal obturator</term>
<term>Palatal prostheses</term>
<term>Paranasal</term>
<term>Paranasal sinuses</term>
<term>Periosteum</term>
<term>Prosthesis</term>
<term>Prosthetic</term>
<term>Resection</term>
<term>Right maxillectomy</term>
<term>Sinus</term>
<term>Skin graft</term>
<term>Soft tissues</term>
<term>Stsg</term>
<term>Surg</term>
<term>Surgical</term>
<term>Temporalis</term>
<term>Temporalis fascia</term>
<term>Temporalis flap</term>
<term>Washington quality</term>
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<term>Arch otolaryngol head neck surg</term>
<term>Basal</term>
<term>Cancer treatment</term>
<term>Canthal</term>
<term>Carcinoma</term>
<term>Craniofacial</term>
<term>Craniofacial resection</term>
<term>Cribriform plate</term>
<term>Dark glasses</term>
<term>Diplopia</term>
<term>Dysplasia</term>
<term>Epiphora</term>
<term>Esthesioneuroblastoma</term>
<term>Exenteration</term>
<term>Facial</term>
<term>Facial resection</term>
<term>Flap</term>
<term>Forehead flap</term>
<term>Frontal</term>
<term>Frontal craniotomy</term>
<term>Frontal process</term>
<term>Graft</term>
<term>Head neck</term>
<term>January</term>
<term>Lacrimal</term>
<term>Laryngoscope</term>
<term>Life questionnaire</term>
<term>Ligament</term>
<term>Malignant disease</term>
<term>Mathog</term>
<term>Maxilla</term>
<term>Maxillary</term>
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<term>Medial canthal ligament</term>
<term>Medial wall</term>
<term>Nasal cavity</term>
<term>Obturator</term>
<term>Orbital</term>
<term>Orbital exenteration</term>
<term>Orbital floor</term>
<term>Orbital preservation</term>
<term>Otolaryngol</term>
<term>Palatal</term>
<term>Palatal obturator</term>
<term>Palatal prostheses</term>
<term>Paranasal</term>
<term>Paranasal sinuses</term>
<term>Periosteum</term>
<term>Prosthesis</term>
<term>Prosthetic</term>
<term>Resection</term>
<term>Right maxillectomy</term>
<term>Sinus</term>
<term>Skin graft</term>
<term>Soft tissues</term>
<term>Stsg</term>
<term>Surg</term>
<term>Surgical</term>
<term>Temporalis</term>
<term>Temporalis fascia</term>
<term>Temporalis flap</term>
<term>Washington quality</term>
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<front><div type="abstract" xml:lang="en">Surgery of benign and malignant disease of the nose and sinuses can result in disfigurement and disability. Many patients have speech, mastication, and swallowing problems, anosmia, and pain. If the orbit is retained, visual loss, dystopia, diplopia, and epiphora can occur. This study reviews the senior author's experience with 34 patients over the last 18 years. Group and case analyses demonstrate that in patients with cancer, the eye can be preserved if one anatomical boundary is retained beyond a negative frozen section margin. Dystopia can be prevented by reconstruction of the floor with skin and fascial grafts or flaps. Epiphora can be reduced by repair of the medial canthus and dacryocystorhinostomy. Evidence is presented for prosthetic management of speech and swallowing and restoration of cheek contour. Case examples are used to illustrate the surgical techniques.</div>
</front>
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Rehabilitation of Patients with Extended Facial and Craniofacial Resection

Rehabilitation of Patients with Extended Facial and Craniofacial Resection

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Abstract

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