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J Neurol Surg B Skull Base 2020; 81(04): 369-375
DOI: 10.1055/s-0040-1713937
Typical Orbital Pathologies
Review Article

Sinonasal Malignancy and Orbital Exenteration Sparing Cancer Surgery

Camilo Reyes
1   Division of Rhinology and Endoscopic Skull Base Surgery, Department of Otolaryngology - Head and Neck Surgery, Augusta University, Augusta, Georgia, United States
,
Mihir Patel
2   Department of Otolaryngology - Head and Neck Surgery, Winship Cancer Institute at Emory University, Emory University, Atlanta, Geogia, United States
,
C. Arturo Solares
2   Department of Otolaryngology - Head and Neck Surgery, Winship Cancer Institute at Emory University, Emory University, Atlanta, Geogia, United States
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Abstract

This article reviews the most common locations and natural history of sinonasal carcinomas. It also reviews surgical indications and current evidence regarding adjuvant and neoadjuvant therapies. In the past, orbital clearance was generally done for ethmoid and maxillary cancers, even without a marked neoplastic infiltration; however, such indications have changed in the recent years due to advances in our understanding of the disease, as well as new chemotherapeutic and radiotherapy protocols. Surgical resection of tumors close to the orbit exhibits the challenging task of balancing treatment goals and patient's desires.

Keywords

periorbita - periorbital fat - extraocular muscles - maxillary sinus carcinoma - squamous cell - carcinoma - paranasal sinuses - orbital exenteration


Publication History

Article published online:
20 August 2020

© 2020. Thieme. All rights reserved.

Georg Thieme Verlag KG
Stuttgart · New York

 

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