Abstract

The therapeutic outcomes for craniofacial surgery for malignant tumors involving the anterior skull base have remained relatively stationary for the past 30 years. Overall survival remains around 60% at 5 years and complications occur in approximately 30 to 35% of patients, although operative mortality remains under 5%. Improvement in therapeutic outcomes can be addressed under three headings: (1) reduction in morbidity and mortality of craniofacial surgery; (2) improvement in locoregional control, which is the most common manifestation of treatment failure; (3) improvement in overall and disease-free survival.

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