Matches in SemOpenAlex for { <https://semopenalex.org/work/W4382655207> ?p ?o ?g. }
Showing items 1 to 80 of
80
with 100 items per page.
- W4382655207 endingPage "55" @default.
- W4382655207 startingPage "49" @default.
- W4382655207 abstract "Purpose: To identify extension routes of craniofacial malignancies and formulate a surgical treatment plan based thereupon. Material and Methods: We retrospectively reviewed the medical records of 253 patients with craniofacial malignancies who underwent surgical treatment at the Romodanov Neurosurgery Institute from 2002 through 2022. Of the 253 patients, 112 had a primary tumor, and 141, a secondary tumor. Preoperative Karnofsky performance scores ranged from 50 to 70 points. Patients underwent neurological and ophthalmological status assessment, as per routine protocols. Results: Epithelial malignancies were the most common (53.7%), whereas anaplastic meningioma and embryonal malignancies were rather uncommon (1.2% and 0.4%, respectively) craniofacial malignancies. The presence of certain clinical symptoms was associated primarily with tumor origin and extension. A high rate of general brain and rhinological symptoms in our study sample was caused by a high percentage of intracranial and paranasal sinus tumors. Craniofacial malignancies most commonly originate from the midline (particularly, anterior midline skull base). Ethmoidal labyrinth was the most common site of origin (45.0%), followed by a sphenoid sinus (12.2%), pterygopalatine and infratemporal fossae (9.9%), whereas the cavernous sinus and olfactory fossa were the least common sites of origin (0.4% and 1.2%, respectively). Craniofacial tumors extended most commonly intracranially (transdurally, epidurally, via adhesion to the dura mater, and/or cavernous sinus growth) or intraorbitally. Anterior craniofacial resection (bifrontal craniotomy with combined with either lateral rhinotomy or supraorbital advancement; or a subcranial approach) was the most common surgical treatment. Postoperative cerebrospinal fluid rhinorrhea and infectious complications (meningitis and meningoencephalitis) were the most frequent complications. The overall postoperative mortality rate was 2.0%. Conclusion: First, compared to the transcranial and facial approaches, the craniofacial resection is advantageous in terms of the radicality of tumor excision. Second, the subcranial approach is preferable to the bifrontal approach in the presence of marked extracranial tumor component, whereas the transbasal Derome approach is effective in the presence of marked extracranial and/or intracranial tumor components. Finally, both the orbitozygomatic and infratemporal approaches allow for the radicality of excision of lateral skull base malignancies, but the latter approach is associated with a lower rate of complications." @default.
- W4382655207 created "2023-07-01" @default.
- W4382655207 creator A5001923027 @default.
- W4382655207 creator A5004656383 @default.
- W4382655207 creator A5029936266 @default.
- W4382655207 creator A5046295877 @default.
- W4382655207 creator A5065319577 @default.
- W4382655207 date "2023-06-30" @default.
- W4382655207 modified "2023-09-25" @default.
- W4382655207 title "Craniofacial malignant tumors, their extensions, and surgical strategy for their treatment" @default.
- W4382655207 doi "https://doi.org/10.31288/oftalmolzh202334955" @default.
- W4382655207 hasPublicationYear "2023" @default.
- W4382655207 type Work @default.
- W4382655207 citedByCount "0" @default.
- W4382655207 crossrefType "journal-article" @default.
- W4382655207 hasAuthorship W4382655207A5001923027 @default.
- W4382655207 hasAuthorship W4382655207A5004656383 @default.
- W4382655207 hasAuthorship W4382655207A5029936266 @default.
- W4382655207 hasAuthorship W4382655207A5046295877 @default.
- W4382655207 hasAuthorship W4382655207A5065319577 @default.
- W4382655207 hasBestOaLocation W43826552071 @default.
- W4382655207 hasConcept C118552586 @default.
- W4382655207 hasConcept C141071460 @default.
- W4382655207 hasConcept C142724271 @default.
- W4382655207 hasConcept C157369684 @default.
- W4382655207 hasConcept C2776289866 @default.
- W4382655207 hasConcept C2776407911 @default.
- W4382655207 hasConcept C2776694085 @default.
- W4382655207 hasConcept C2778801703 @default.
- W4382655207 hasConcept C2778871575 @default.
- W4382655207 hasConcept C2778938557 @default.
- W4382655207 hasConcept C2779160599 @default.
- W4382655207 hasConcept C2779300802 @default.
- W4382655207 hasConcept C2779399171 @default.
- W4382655207 hasConcept C2779699568 @default.
- W4382655207 hasConcept C2781088518 @default.
- W4382655207 hasConcept C2781245598 @default.
- W4382655207 hasConcept C2908973413 @default.
- W4382655207 hasConcept C59822182 @default.
- W4382655207 hasConcept C71924100 @default.
- W4382655207 hasConcept C86803240 @default.
- W4382655207 hasConceptScore W4382655207C118552586 @default.
- W4382655207 hasConceptScore W4382655207C141071460 @default.
- W4382655207 hasConceptScore W4382655207C142724271 @default.
- W4382655207 hasConceptScore W4382655207C157369684 @default.
- W4382655207 hasConceptScore W4382655207C2776289866 @default.
- W4382655207 hasConceptScore W4382655207C2776407911 @default.
- W4382655207 hasConceptScore W4382655207C2776694085 @default.
- W4382655207 hasConceptScore W4382655207C2778801703 @default.
- W4382655207 hasConceptScore W4382655207C2778871575 @default.
- W4382655207 hasConceptScore W4382655207C2778938557 @default.
- W4382655207 hasConceptScore W4382655207C2779160599 @default.
- W4382655207 hasConceptScore W4382655207C2779300802 @default.
- W4382655207 hasConceptScore W4382655207C2779399171 @default.
- W4382655207 hasConceptScore W4382655207C2779699568 @default.
- W4382655207 hasConceptScore W4382655207C2781088518 @default.
- W4382655207 hasConceptScore W4382655207C2781245598 @default.
- W4382655207 hasConceptScore W4382655207C2908973413 @default.
- W4382655207 hasConceptScore W4382655207C59822182 @default.
- W4382655207 hasConceptScore W4382655207C71924100 @default.
- W4382655207 hasConceptScore W4382655207C86803240 @default.
- W4382655207 hasIssue "3" @default.
- W4382655207 hasLocation W43826552071 @default.
- W4382655207 hasOpenAccess W4382655207 @default.
- W4382655207 hasPrimaryLocation W43826552071 @default.
- W4382655207 hasRelatedWork W1984210618 @default.
- W4382655207 hasRelatedWork W2024386931 @default.
- W4382655207 hasRelatedWork W2095452428 @default.
- W4382655207 hasRelatedWork W2151342572 @default.
- W4382655207 hasRelatedWork W2282391974 @default.
- W4382655207 hasRelatedWork W2417697246 @default.
- W4382655207 hasRelatedWork W2426039209 @default.
- W4382655207 hasRelatedWork W3004446985 @default.
- W4382655207 hasRelatedWork W4249741389 @default.
- W4382655207 hasRelatedWork W4312713951 @default.
- W4382655207 isParatext "false" @default.
- W4382655207 isRetracted "false" @default.
- W4382655207 workType "article" @default.