Abstract
A combined intracranial facial approach to cancer of the paranasal sinuses has been performed in nineteen patients. One postoperative death occurred due to meningitis. Despite extensive preoperative disease, eleven patients have survived two to seventy-five months free of disease; eight of these having been followed up during thirty-one months. This procedure can be performed with a minimum of complications and allows the surgeon the opportunity to do a true en bloc resection of cancer in an anatomically difficult area. The advantages of the combined procedure are that it allows: (1) evaluation of intracranial disease, (2) protection of the brain, (3) avoidance of spinal fluid fistulas, (4) more adequate hemostasis, (5) facilitation of resection, and (6) en bloc resection.
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