Skull Base 2011; 21(4): 255-260
DOI: 10.1055/s-0031-1280680
ORIGINAL ARTICLE

© Thieme Medical Publishers

Morbidity Profile and Functional Outcome of Modified Facial Translocation Approaches for Skull Base Tumors

Vikram D. Kekatpure1 , Gunesh P. Rajan2 , Daxesh Patel3 , Nirav P. Trivedi1 , P. Arun3 , Subramania Iyer3 , Moni Abraham Kuriakose1
  • 1Department of Head and Neck Oncology, Mazumdar-Shaw Cancer Center, Narayana Hrudayalaya, Health City, Bangaluru, India
  • 2Department of Otolaryngology, Head and Neck Surgery Unit, School of Surgery, University of Western Australia, Perth, Australia
  • 3Department of Head and Neck Surgery, Amrita Institute of Medical Sciences, Kochi, India
Further Information

Publication History

Publication Date:
22 June 2011 (online)

ABSTRACT

The primary objective of this study was to evaluate morbidity associated with facial translocation approaches for skull base and results of various technical modifications. Forty consecutive patients who underwent facial translocation approaches for accessing skull base tumors from July 2005 to June 2010 were included in this study. There were 25 patients who underwent standard facial translocation, 4 patients medial mini, and 11 patients underwent extended facial translocation. Thirteen patients had benign disease and 27 patients had malignant disease. Resection was R0 in 36 and R1 in 4 patients. Most patients had acceptable cosmetic results. None of the patients had problems related to occlusion or speech and swallowing. The commonest complication observed was nasal crusting in 16 patients. Grade 2 trismus and exposure of mini plate was seen in three patients. Two patients developed necrosis of translocated bone. Three patients developed palatal fistula before modification of palatal incision. Facial translocation provides a satisfactory access for adequate clearance of skull base tumors with satisfactory aesthetic and functional results. With modifications of the surgical technique and implementation of new surgical tools, the morbidity of facial translocation approaches will continue to decrease.

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Moni Abraham KuriakoseF.F.D.R.C.S. F.R.C.S. 

Chief, Head and Neck Oncology Services, Mazumdar-Shaw Cancer Center, Narayana Hrudayalaya

Health City, 258/A, Bommasandra, Anekal Taluk, Bangaluru 560099, India

Email: drmoni.kuriakose@hrudayalaya.com